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Sean’s appreciation of Raj (guest star Adhir Kalyan) further strains his relationship with Matt. Christian returns to womanizing after his pectoral reconstruction, causing an irrevocable rift with Liz that has long-term ramifications for the future of McNamara/Troy. Raj’s father, the esteemed doctor Vijay Paresh (guest star Iqbal Theba), wants his son to perform his penis enlargement surgery, but is disappointed to discover his lack of surgery skills. 18-year-old Ricky requests surgery to make him look older after marrying his former elementary school teacher (guest star Suzanne Cryer), who spent time in prison for statutory rape.
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