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Andy's next door neighbor, Nina, is outcasted by the townspeople when they discover that she's a surrogate mother for a 50 year-old woman. Andy attempts to defend Nina, but his efforts backfire until she unexpectedly goes into labor. Meanwhile, Amy uninvites Ephram to a party since her friends disapprove of him; and Delia tries to become friends with the school bully.

Dr. Brown and Dr. Abbott must put their striking differences aside to educate the town of Everwood after several of their teenaged patients are diagnosed with a sexually transmitted disease. To make sensitive matters worse, Dr. Abbott has reason to suspect that his son, Bright, may have been intimate with one of the patients.

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Andy meets with Colin's parents to discuss a potential course of treatment for the comatose teen. Amy is heartbroken and Ephram is furious when Andy decides against performing a risky operation on Amy's comatose boyfriend. Meanwhile, Delia is forbidden from playing with her only friend, Magilla, after his parents discover them playing dress up.

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Delia and Nonny throw a birthday party for Edna, who happens to hate birthdays, but their plans fall apart when a snowstorm hits Everwood and snows the town in. While trapped in their houses, Bright's appendix bursts and Dr. Abbot is forced to operate with a make-shift operating room. Meanwhile, Amy and Ephram's feelings are laid out on the table, leaving Ephram to consider moving back to New York with his grandparents.

Knowing it would mean a lot to Delia, who's having trouble dealing with their first Thanksgiving since their mother's death, Ephram tries his best to recreate his mother's typical Thanksgiving. Meanwhile, Andy has to find a man's missing brother in order to save the man's life; and Harold tries to win the friendship of each of the townspeople after he worries that no one would come to his funeral if he were to die.

Amy is thrilled to learn that Colin (Mike Erwin) will return home to complete his recovery, but Ephram worries about how that will affect his own relationship with Amy. Meanwhile, Mayor Rose Abbott agrees to store several marijuana plants in her home after the police have no official place to lock up the contraband seized from a dead woman's house.

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When the anniversary of his mother's death quickly approaches, Ephram is forced to confront a repressed memory of his father cheating on his mother. This causes the slow-to-mend rift between Andy and Ephram to grow once again, resulting in a bitter confrontation. Meanwhile, Amy begins to think that Colin isn't doing as well as everyone thinks he is, leading to the Harts finding another doctor.

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While Ephram deals with his nervousness about performing in a piano recital, Andy and Harold attempt to diagnose a man with a sleep disorder. Meanwhile, Amy spends time with Edna in order to secretly see Colin while she's grounded; and a rumor about UFO sightings and aliens create a stir in Everwood.

Andy is faced with a moral dilemma when a pregnant teenager and her father come to his office in order to terminate the pregnancy. Meanwhile, Ephram is humiliated when his date to the Spring Formal leaves him at the dance to be with her boyfriend; and Amy and Colin fight when Amy goes to confort Ephram.

Angry that he had to to accompany Andy and Irv on a trip to a cabin, Ephram takes a boat out on the lake, but his inexperience leads to a serious accident. Back in Everwood, the Harts have to decide whether or not Andy should perform a second surgery on Colin; and Nina confronts Carl when she finds out that he's having an affair.

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