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.
Change doesn’t come easy for the gang when J.D. considers moving closer to his son. Meanwhile, Turk gets comfortable as chief of surgery, while Ted and Gooch reach a new level in their relationship.
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 invites the Sacred Heart staff to his wedding with Lady in the Bahamas on a three days notice, hoping to score some loot, but the scheme is about to backfire, when everyone decides to actually go there…