J.D. is planning on leaving Sacred Heart but before he goes there are a few things that he wants to do including; getting a hug from Dr. Cox, and learning the Janitor’s real name. Elliot is ready for the next step in her and J.D.’s relationship and she begins moving her furniture into J.D.’s apartment.

J.D. considers leaving Sacred Heart to be closer to his son and Kim. Elsewhere, Turk settles into a new role, and Ted’s relationship progresses.

Things get weird for J.D. when he discovers the identity of Kim’s new man, as he plans to reach out to her in order to move closer to Sam. Meanwhile, Turk starts a campaign for a promotion, and Dr. Kelso is struck by an intestinal virus.

The tropical seaside wedding goes ahead as the Janitor and Lady tie the knot, which makes the other couples think about their relationships as well.

The Janitor and Lady invite the Sacred Heart staff to their wedding in the Bahamas hoping to score some loot, but their scheme is about to backfire…

A combination of a full moon and some bad luck causes Sacred Heart’s new crop of interns to receive their toughest case load yet, while Elliot makes an important decision regarding her future as a doctor.

J.D.’s ego goes out of control when he becomes the guy everyone in the hospital goes to for help with Dr. Cox. Intern Derek tries his best not to get involved, while Turk keeps trying to get his opinion. Meanwhile, the Janitor doesn’t think Sunny is strong enough to be tortured.

Unable to deliver the news that a patient will never be able to walk again, Turk decides to try an experimental procedure instead. However, J.D. is worried that he is only giving false hope. Meanwhile, the Janitor and Dr. Cox face relationship issues that cause Elliot to intervene.

The new interns have to perform in a comedy show.

J.D. goes on a vacation.