A stripper stopped by with her plastic surgeon to show Howard her pre-labiaplasty vagina (or at least that's what the email she sent the show said), explaining how she wanted to have her labia made smaller because she works as a go-go dancer and frequently wears tight pants: "It just looks puffy down there." When Howard asked to see the offending labia, she refused ("It's personal for me."), so Howard promptly kicked the pair out: "Why do you think we booked you? Get out of here!"
Gary then came in to ask if he could cut the plugs out of the replay, and Howard agreed. Richard came in to make up for the segment's failure by crafting a makeshift labia out of Gary's lips: "He's gotta lay on the couch. On his side." Gary laid down and Richard pulled a pair of panties over Gary's lips. Howard was disgusted: "She needs an operation!" Howard directed the scene, telling Gary to open his mouth to "spread the lips" and make sputtering noises. Sal then burst in with a dildo and tried to put it in Gary's mouth, but Gary tackled him and shoved it in his instead.