The Soldier being consulted by Sean should be wearing a "Combat Action Ribbon".
One of the few episodes where there's no consult at McNamara/Troy.
This is the second time in Nip/Tuck history that Julia is a "surgeon". Interestingly, it was also in episode 12 last season that she was given a chance to "operate" .
Quentin is now unemployed, having been fired by Julia, and having left McNamara/Troy last episode.
Unlike Kim, Joy Kringle undergoes general anaesthesia when she has her micro-liposuction done. Christian gave micro-lipo to Kim with local anaesthesia.
Real Life Comparison: Joy Kringle carries a "stone baby" for 17 years. This is actually a real phenomenon. It is called Lithokelyphopedions. They occur when a fetus dies during an ectopic pregnancy. In 2000, a 49-year-old fetus was found in a 76-year-old woman. In 1999, a 39-year-old fetus was found in a 67-year-old woman.
"Oh Holy Night" by Aaron Neville (at the end of episode)
"The little drummer boy" by Arthur Lyman (Sean examines Julia and talks with her about their Christmas plans)
"Santa's going to rock" by The Bellrays (Matt and Ariel dismantle the nativity scene at school)
"Hark the herald angels sing" by Jingle Punx (Matt and Ariel repaint characters of the nativity scene)
"Under Dark Rain In Our Room" by Russell Mills (Ariel puts prescription grade bleaching cream on her face, it burns her skin, Matt puts her in the shower to flush the chemical)
Despite her comments in a past episode of plastic surgery being the work of devils, Ariel comes to McNamara/Troy for aid.
Goof: When the anesthesiologist is giving Kimber gas to put her under, [she's at McNamara/Troy to have the "surgeries" given her by The Carver repaired] he is not wearing surgical gloves, a second later he is.
Goof: In the sequence in which Kit is packing her belongings and detailing Quentin (and indeed her own) backstory she can be seen placing the lid on the box she is filling. The scene then cuts to a wide angle and we see Kit place the lid on the box again despite having already done it in the previous shot.
Santa Maria by Gotan Project (played when Quentin "operates" on Christian and Sean)
"Cherry Peck/Quentin Costa" was watched by 5.7 million viewers. Thus making it the most watched program in FX history.
It also drew 3.9 million viewers in the 18-49 age demographic. This made it the highest watched cable series for 2005
This is the second time Sean is "attacked" by The Carver. Interestingly, it was episode 15 last season as well.
Celebrating their 5000th surgery together, Sean handed Christian a gold scalpel that reads "September 5th, 2006". That's the same date this episode airs.
Goof: During the scene where Cindy is having her voicebox operated on, you can see her eyes flinch and squint. Obviously, she was "awake" when this was filmed, but during a normal procedure such as this, she should be completely sedated and she would not be flinching her eyes.
When Matt is discussing what happened with Cherry and Mr. Alderman with Kimber, clips from 'Quentin Costa' are shown.
Liz says that Christian's sex tape was on Youtube. This is almost impossible seeing as Yotube doesn't allow porn to be upload. It's possible that it may have been temporarely on Youtube, but the video would have been flagged and taken down before it reached 6,000 views or downloads, as Liz stated.
There is no way Christian could be unaware that he was being filmed. The video, as uploaded, was cut together from several different angles -- a few directly from the woman's point of view and one seemingly from his own.
In the show, of course, he was more worried about how he looked in the video rather than the fact of its existence, but he did seem more or less thrown by it.
While viewing Christian's YouTube porn video, Liz mentions that the video has been downloaded 6000 times. Videos on YouTube cannot be downloaded and are available for online streaming only, so she probably meant "has been viewed 6000 times".
It's revealed the mysterious woman (who kisses Michelle) is named James.