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As the episode unfolds, it is revealed that her adult children have been enabling her condition, feeding her constantly to keep her immobile and dependent, effectively using her as a human anchor for their own psychological issues.

In this episode, Christian Troy and Sean McNamara are called to a local home by paramedics to perform an emergency "on-site" surgery. The patient is , an morbidly obese woman who has not left her sofa in three years. Nip_Tuck_3x01_Momma_Boone_ITA_DVDRip_XviD-NovaRip

The doctors must perform a gruesome "couch-ectomy," surgically separating her flesh from the furniture so she can be transported to the hospital. As the episode unfolds, it is revealed that

While the "Momma Boone" case provides the central shock value, the episode also advances the season's overarching mystery: As the episode unfolds

The season-long hunt for "The Carver," a masked serial slasher who mutilates "perfect" people, intensifies as the doctors deal with the aftermath of his previous attacks.

The tension in Sean and Julia’s marriage continues to simmer as they struggle with the arrival of a new baby and the general chaos of their lives.