Noel is presented with another major surgical challenge. Seven-month-old puppy Jolly has a painful bone deformity in both his front legs. His owner, Christine, agonises over whether it's fair to put him through an operation in which Noel proposes to use a new technique to treat a bone growth deformity.
There's also an emergency rushed to the centre in the middle of the night - Breezy, a collie, has been hit by a car. Noel suspects a broken back but not everything is quite as it seems.
Another road accident victim, a cat called William, desperately needs a life saving blood transfusion and Flight, an excitable Labrador, puts his newly transplanted hip under real pressure when he can't contain his excitement at being reunited with his owner.