Jim cleans out the garage to create a cigar lounge, but he must retrieve all of the baby clothes and furniture after Cheryl hits him with a big surprise.
Alan makes the mistake of allowing Cory to stay up late in order to watch a baseball game, which leaves him too tired to concentrate on a test the next day.
Jim grows a mustache that Cheryl hates because a hot delivery girl advised him to do so; Cheryl retaliates by becoming a brunette but Jim loves the change.
In New York, a publisher from Canada learns she will be deported, but she makes her assistant marry her for a promotion if they survive an agent's questions.
Two friends start their first day as interns at Sacred Heart Hospital, and one finds himself enamored with a fellow intern and terrified by his advisor.
J.D. bonds with an older woman that he is caring for whose kidneys are failing; while Elliot struggles to communicate with a woman who doesn't speak English.
Stuck in the hospital on his day off, J.D. just wants to go home; Turk looks for a donor to save a dying patient; Carla has her concerns about becoming a mom.
Elliot is ready for JD to move out but isn't ready to tell him, while Carla wrestles with her decision to either be a stay-at-home mom or return to work.
The staff at the hospital all find their own ways to cope with Nurse Roberts' progressing illness; Dr. Cox and Jordan finally give birth to their baby.
J.D. hopes his final day measures up to his dreams; Elliot's things appear in J.D.'s apartment, and she wants their relationship to go to the next level.
As his final day at Sacred Heart comes to an end, J.D. starts to wonder about how his relationships with his mentor and his best friend will be affected.
The kids use their newfound dispute resolution skills to settle Jim and Andy's argument after Jim forces them to form a tribunal to resolve their conflicts.