The episode starts with Ray walking into the kitchen having just seen his doctor. He tells Debra that the doctor told him his adenoids have to come out. Debra tells him that it's a routine procedure and Ray is appalled at Debra's lack of concern for his well-being. Marie worriedly comes rushing in and hugs Ray, saying the doctors are "trying to take a piece of my Raymond away." Ray gives Debra a hard time over the course of the next week, fretting about his upcoming surgery and asking questions such as "What if the nurses' top button is undone and the doctor gets distracted?" On the day of the operation, Ray goes into surgery and Debra, Robert, Amy, Frank and Marie wait in the waiting room. Robert laments how the whole world has to stop because Ray is having a routine procedure, and states that the only reason he is there is because Marie dragged him there since he is the same blood type as Raymond. The family tells jokes to lighten the mood, of which Marie disapproves; she says that she needs to go to the bathroom and when she returns everyone should have a sign of concern.