Ted uses the village for help as he takes the first steps in romance after he falls in love with a ukulele player. Meanwhile, Perry finds out the hard way that he can’t handle all he has on his plate.

Dr. Cox becomes overwhelmed by the new job as Chief of Medicine, and reaches out to Dr. Kelso as a friend in an unthinkable move.

J.D. and Elliot hope to add some spice back into their rekindled romance. Elsewhere, Cox mulls over taking a new job as the chief of medicine.

J.D. gets help from Elmo, Grover and Oscar the Grouch of Sesame Street in helping teach compassion. Meanwhile, intern Katie scams Elliot in hopes of getting on Turk’s research team.M

J.D. and Elliot create sparks together as they team up to coax Kelso out of the coffee shop.

Kelso and Cox become a team as they try to get rid of Dr. Maddox. Elsewhere, Carla believes a self-centered intern needs to get a shot of humility.

J.D. and Turk’s evening of comforting a dying patient causes them to miss their steak-night tradition. Elsewhere, Dr. Maddox’s true character is revealed.

Dr. Maddox, Kelso’s replacement, makes a few changes around the hospital. Meanwhile, the new incompetent interns have J.D. frustrated, and Elliot tries to get a handle of her ego.

To get his son to fall asleep Dr. Cox tells him about his day at the hospital in the form of a fairy tale. The Village Idiot (J.D) is summoned to help Princess Elliott when she cannot figure out what is wrong with her handmaiden, with the help of the Giant (Janitor) and a little magic from Turla (Turk and Carla) and last but not least the Knight in shining armor of this fairytale (Dr. Cox) they may be able to defeat the Dark Lord (Dr. Kelso) and save the handmaiden.

Elliott and J.D gets in touch with an old patient of theirs to offer him some compensation as the medication they recommended had some bad side effects. Carla speaks to Turk about getting pregnant again while Dr. Cox likes his new title, but does he want all the responsibility and problems that comes with it?