At the all-state basketball game, Mrs. Garrison, Dr. Biber, Mr. Broflovski, and the other three boys are trying to stop Kyle from playing basketball, as any jumping could cause Mrs. Garrison's testicles to explode. Unfortunately, in a dramatic climax, Kyle leaps into the air, causing his new "kneecaps" to explode as he lands. Faced with the loss of her testicles, Mrs. Garrison decides to accept her gender. Dr. Biber then apologizes to Kyle and Gerald, saying he should have told them that the surgeries were cosmetic; he then decided to reverse the surgeries he performed on Kyle and his father for a nominal fee, in which they accept, as they are shown returned to normal in later episodes.