When High Pitch Mike came into the studio to ask Howard if he could get his time with Siobhan the Transsexual over, he revealed he had petroleum jelly on his face as a barrier for when she sat on it. Mike then admitted he was "scared of it all" in regard to the bit, but added he was most concerned with Siobhan's hemorrhoids touching his face. Because Mike was visibly nervous, Howard asked Siobhan to enter the studio so Mike wouldn't back out of the stunt.
Once she was in the studio, Siobhan told Mike she's had "numerous tests" for sexually transmitted diseases, and was "as clean as a whistle." Siobhan went on to admit she tried to defecate this morning and wasn't going wipe herself afterward, but couldn't produce anything. Mike then pointed out no one in his family knew about what he was doing for the television, noting he planned on telling anyone who sees his TV that he bought it himself.
As Gary explained the setup for the bit, Mike asked Fred if he would play a song during his time with Siobhan, a request Howard denied so that hear every noise Mike made. After Siobhan showed off her "managina," which caused everyone in the studio to groan, Mike acknowledged he didn't think fans would've voted for him because he didn't feel he was popular enough on the show to have actually "won." However, Howard commented that the fans weren't voting for Mike, but instead they voted to have Siobhan sit on someone's face.
Howard gave Mike a number of chances to back out of the bit, but he replied he didn't want to "wuss out." Gary then gave the countdown, and Siobhan sat on his face for 70 seconds. After Siobhan removed herself from Mike's head, he darted out of the studio to clean his face with iodine, and Siobhan admitted she could "smell her own 'p*ssy'" the odor was so strong.
Sal brought a wireless microphone to Mike in the bathroom as he was cleaning himself, and Mike said "there wasn't a word in the English language" to describe what it was like having Siobhan on his face. Mike then came back into the studio and called Siobhan "a doll" for "not putting it any closer than she did." Despite Artie's claims that having Siobhan sit on his face was a gay act, Mike insisted that wasn't the case. Mike went on to admit he was afraid of "breaking down like KC" because of the bit, but KC assured him he shouldn't be concerned with that.
As Robin laughed at Mike's reaction to having been sat on by Siobhan, Mike lashed out at Robin with several insults being traded back and forth. After Howard told Robin that Mike was still "under the influence" of his time with Siobhan when he made the remarks about her, Mike reported he visited the World Trade Center two days after September 11th, and "the mix of the burning metal and charred bodies" didn't compare to the smell of Siobhan.