Lilith comes to Seattle, and tells Frasier that she would like to have another child. She wants him to father the child through artificial insemination so that Frederick could have a full-sibling. Frasier is hesitant to go along with this, so Lilith tries to manipulate him by bringing up touching stories from Frederick's childhood.
Niles prepares to undergo heart bypass surgery. He is surprised to receive a call wishing him well from Maris, who had learned of his plight from a gossipy acquaintance. Frasier tries to keep Roz and the family at ease by researching the procedure (as well as the doctors' backgrounds) and printing out detailed descriptions for everyone.