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The fourth season of Nip/Tuck premiered on September 9, 2006 and concluded on December 12, 2006. It consisted of 15 episodes.

Nip/Tuck (season 4)
Niptuck season 4.jpg
DVD cover
Country of originUnited States
No. of episodes15
Original networkFX
Original releaseSeptember 5 (2006-09-05) –
December 12, 2006 (2006-12-12)
Season chronology
← Previous
Season 3
Next →
Season 5
List of Nip/Tuck episodes


Cast and charactersEdit

Main castEdit

Special guest starsEdit

Recurring castEdit


No. in
TitleDirected byWritten byPatient PortrayerOriginal air dateProd.
451"Cindy Plumb"Ryan MurphyRyan MurphyKathleen TurnerSeptember 5, 2006 (2006-09-05)3T5001
Sean and Christian celebrate a milestone surgery and receive an interesting proposition from patient Burt Landau, a wealthy medical venture capitalist who wants bigger testicular implants, and his much younger wife, Michelle. Meanwhile, Julia reveals devastating news about her unborn child to Sean, leaving him full of fear and doubt. Phone sex operator Cindy Plumb requests that the surgeons make her voice more youthful. And tortured Christian redecorates his apartment after a troubling appointment with his psychiatrist, Dr. Faith Wolper.
462"Blu Mondae"Michael M. RobinLyn Greene & Richard LevineAngela LittleSeptember 12, 2006 (2006-09-12)3T5002
Sean and Julia make an important decision about their unborn baby. After getting into trouble with their new boss, Sean and Christian discover the drawbacks of no longer owning their practice. Matt's decision to go down a new path in life is met with uncertainty by his family. Meanwhile, an aristocratic gay man, Arthur Stiles, wants his younger lover to look as distinguished as he does. And James, a woman who has a mysterious past with Michelle, arrives.
473"Monica Wilder"Elodie KeeneBrad FalchukJennifer HallSeptember 19, 2006 (2006-09-19)3T5003
While Sean searches for a night nurse for his newborn baby, Conor, Sean's hidden desires are revealed. He turns to Christian for support, but Christian's vanity causes him to be unavailable at the most crucial time. Sean and Julia eventually hire Marlowe Sawyer to help care for Conor. Meanwhile, Liz witnesses an event that changes her relationship with Michelle.
484"Shari Noble"Nelson McCormickJennifer SaltMelissa GilbertSeptember 26, 2006 (2006-09-26)3T5004
The more Michelle resists Christian, the more he wants her - but if Michelle's past is any indication, she has a lot to lose. Meanwhile, Sean's worries about Julia and the baby lead him into a compromising situation. A patient named Shari Noble needs her nipple reattached after an accident. And when Christian accompanies Liz to a lesbian bar, it becomes a night she will regret for the rest of her life.
495"Dawn Budge"Elodie KeeneHank ChiltonRosie O'DonnellOctober 3, 2006 (2006-10-03)3T5005
Christian earns a fortune from a rags-to-riches client, Dawn Budge, outside of McNamara/Troy, when she requests surgical makeovers for her entire family. Nonetheless, Christian continues longing for what he does not have: an honest and loving relationship. Meanwhile, James blackmails Christian while forcing a terrified Michelle to remember her past actions. Sean makes Julia a very romantic offer. And Kimber convinces Matt to move out of his parents' house.
506"Faith Wolper, Ph.D"Sean JablonskiSean JablonskiBrooke ShieldsOctober 10, 2006 (2006-10-10)3T5006
While trying to arrange a second honeymoon for himself and Julia, Sean learns that a nanny the couple had hired, Monica Wilder, has no intention of leaving. Christian's therapist, Dr. Faith Wolper, reveals her obsessive, secret torment as Christian wrestles with his relationship woes. Burt Landau discovers the affair going on between Michelle and Christian - and proposes an unorthodox solution.
517"Burt Landau"Charles HaidBrad FalchukLarry HagmanOctober 17, 2006 (2006-10-17)3T5007
Christian has enough of sex with Michelle (Sanaa Lathan) in front of the incapacitated Burt (Larry Hagman), who later suffers a stroke. Desperate for companionship, Christian manipulates a fragile Kimber into sleeping with him. Liz is told she requires a kidney transplant, but Sean has concerns over donating one of his own despite being a match. Matt comes on to Kimber. Newly divorced Dawn Budge (guest star Rosie O'Donnell) has an ear torn off by thieves, and requires a replacement. Guest starring Stephen Spinella.
528"Conor McNamara"Patrick McKeeJennifer Salt & Hank ChiltonSpencer RobertsOctober 24, 2006 (2006-10-24)3T5008
Sean prepares for Conor's surgery, while having flashbacks to his own painful childhood scarred by a physical deformity. Julia has last-minute fears of having her son undergo surgery, and finally acts on her unexpected attraction to Marlowe (Peter Dinklage). Mrs Grubman (guest star Ruth Williamson) is dying, and requests surgery in order to leave a good-looking corpse. Guest starring Mo'Nique and Burt Bacharach.
539"Liz Cruz"Richard LevineLyn Greene & Richard LevineRoma MaffiaOctober 31, 2006 (2006-10-31)3T5009
Liz requests liposuction after feeling out of shape next to her new fitness-obsessed girlfriend Poppy (guest star Alanis Morissette). Julia and Marlowe (Peter Dinklage) act on their feelings for one another, and Marlowe later requests a leg-lengthening procedure in order to make them look more like an ordinary couple. James (Jacqueline Bisset) is threatened by her bosses into getting hold of another kidney, and sets her sights on Christian. Guest starring Sanaa Lathan.
5410"Merrill Bobolit"Charles HaidSean Jablonski & Brad FalchukJoey SlotnickNovember 7, 2006 (2006-11-07)3T5010
Sean tries to remove any trace of Marlowe (Peter Dinklage) from the McNamara home after discovering Julia's affair. Matt and Kimber reveal that they are married and expecting a baby. Christian doesn't trust Kimber, so secretly performs a DNA test to prove the baby is his. Merrill Bobolit returns, requesting anal surgery after being repeatedly raped in prison by his cellmate "husband": Escobar Gallardo (Robert LaSardo). Later, Escobar requests Sean and Christian give him back his old face.
5511"Conor McNamara, 2026"Craig ZiskRyan MurphyStark SandsNovember 14, 2006 (2006-11-14)3T5011
In the year 2026, the adult Conor attempts to mend his emotional wounds via a gathering of his entire family. Meanwhile, the adult Annie remains tormented by her own upbringing. In the present day, Julia accepts the fact that happiness means being on her own as she departs Miami for New York with her two children, leaving Sean and Christian behind for good.
5612"Diana Lubey"Charles HaidSean JablonskiCatherine DeneuveNovember 21, 2006 (2006-11-21)3T5012
Suffering from loneliness himself, Sean sympathizes with a forlorn client, Diana Lubey, and agrees to her perverse plastic surgery request. Meanwhile, Christian proposes marriage to Michelle, but his promiscuous past causes him to question his ability to make a long-term commitment to any woman. And James concocts a plan to use McNamara/Troy's operating room for her own benefit.
5713"Reefer"Lyn GreeneLyn Greene & Richard LevineCharles HaidNovember 28, 2006 (2006-11-28)3T5013
As Sean celebrates Christmas without his family, his loneliness leads him to seek solace in alcohol - resulting in possible legal action from a patient. Meanwhile, Christian receives an unexpected gift when Wilber, who is now 3 years old, comes back into his life. And taking drastic measures to fill her holiday kidney quota, James forces Michelle to help.
5814"Willy Ward"Michael M. RobinJennifer SaltRonn LucasDecember 5, 2006 (2006-12-05)3T5014
Searching his soul and exasperated by living in Christian's shadow, Sean sells his share of McNamara/Troy to Christian and Michelle. Meanwhile, Gina Russo re-enters Christian's life when she learns that Michelle will become Wilber's adoptive mother. James ends her association with Escobar Gallardo and his organ-heisting ring - and Michelle's nightmare begins. And as Matt attempts to rekindle the fire in his marriage to Kimber, Liz and Poppy come to a relationship crossroads.
5915"Gala Gallardo"Ryan MurphyRyan Murphy & Hank ChiltonIdalis DeLeonDecember 12, 2006 (2006-12-12)3T5015
Escobar Gallardo seeks a cosmetic procedure from Sean and Christian for his wife, Gala, who was brutally attacked by her husband's enemies. Christian and Michelle's future together is threatened when Michelle's violent, dark past is finally exposed. With Julia and her two younger children living in New York, and Matt and Kimber expecting a baby, Sean makes a life-changing decision about his partnership in McNamara/Troy.