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As the episode unfolds, it is revealed that her adult children have been enabling her condition, feeding her constantly to keep her immobile and dependent, effectively using her as a human anchor for their own psychological issues.

The story centers on the horrifying discovery that Momma Boone has literally . Because she hasn't moved in years, her skin has grown into the fabric and stuffing of the upholstery, and she is suffering from severe, life-threatening infections. Nip_Tuck_3x01_Momma_Boone_ITA_DVDRip_XviD-NovaRip

While the "Momma Boone" case provides the central shock value, the episode also advances the season's overarching mystery: As the episode unfolds, it is revealed that

The tension in Sean and Julia’s marriage continues to simmer as they struggle with the arrival of a new baby and the general chaos of their lives. While the "Momma Boone" case provides the central

In this episode, Christian Troy and Sean McNamara are called to a local home by paramedics to perform an emergency "on-site" surgery. The patient is , an morbidly obese woman who has not left her sofa in three years.

The doctors must perform a gruesome "couch-ectomy," surgically separating her flesh from the furniture so she can be transported to the hospital.