This episode truly is one of the best hours of television, and it is definitely the best episode of Nip/Tuck as of Season 4. This episode is powerful, revealing, shocking, and depressing in so many ways, and the final few minutes are just jaw-droppingly perfect. Famke Janssen gives her best performance yet as Ava, and Adrian finally confronts his mother about everything. The horrible truth about Ava is also finally revealed, and there is so much build up to the final few minutes. This is one of the best season finales ever, and it is no surprise that Nip/Tuck got so much attention during this time. Sean also finally confronts his fears, and he sets things up to face the Carver once and for all. Overall, this episode is just magnificent and just proves why Nip/Tuck is so addictive and amazing.