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Episode 4

Darren and Tom get the clinic team together to update them on the hospital. With the deadline approaching and the building not ready, Darren and Tom inform the team that they will all have to wait a while longer. Settling into their new life as a family unit, Darren and Tom navigate the surrogacy laws between the UK and America.

Patient Aileen visits Dr Russell Bramhall for a facelift and eyelid surgery consultation. Dr Rhona Cameron carries out some of the last procedures before Christmas, and all the staff take a trip to London for their annual Christmas night out. Ahead of celebrating Ophelia's first Christmas, Darren and Tom shop for some presents for her (while in London). It's Christmas, and Darren and Tom celebrate Ophelia's first Christmas as a family. Back at the clinic, Aileen undergoes her Facelift surgery with Dr Russell Bramhall, and we meet Nicola, a patient who is in to see Darren about her acne scarring. Darren carries out some laser treatment on Nicola to try to combat her insecurities. We then catch up with Aileen, who is four weeks healed after her facelift and eyelid surgery. Nicola returns for her follow up consultation after her laser treatment and we learn how having adult acne severely impacted her mental health. At home, Darren and Tom enjoy time with Ophelia and reflect on the first few months of having her in their lives.
We round off the series with an update on the new hospital from principal contractor Marc and architect Ruari Gardiner and how it unfortunately won't be ready for the original deadline. Darren, Tom and the clinic staff reflect on the past year and look ahead at the future, their hopes for the new hospital and the year ahead.

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