The boys find out a famous couple is getting married at the hotel where the couple is going to share their first kiss, and a picture of this kiss will be worth a lot of money. After Carey scolds the boys for running up a hefty room service bill, the boys decide to sneak into the very private, highly secured wedding and get a picture of the "first kiss."
J.D. must deal with the way Dr. Cox's new job as Chief of Medicine affects their dynamic; Carla learns how to balance the needs of the nurses with her relationships with the doctors.
To Jeff’s (Patrick Warburton) enjoyment, Audrey’s (Megyn Price) throat surgery leaves her speechless. Adam (Oliver Hudson) tries to convince everyone that he has more going for him than just his good looks. Timmy (Adhir Kalyan) uses another job offer as leverage after being forced by Russell (David Spade) to fire a coworker.
As Thanksgiving approaches... Ling sues an employee for having sexual thoughts about her; and Ally goes to court with her fingers stuck in a bowling ball.
As Kelly agrees to give up sex for a big TV commercial, Al teams with Officer Dan for an appearance on Cops.