The odds are stacked against Noel Fitzpatrick and his team as a golden retriever puppy with horrific facial injuries is brought into the practice after being attacked by another dog. Plus, a man drives all the way from Switzerland in the hope of a successful treatment for a Chihuahua, and a woman brings in her Hungarian vizsla, which has a bone and cartilage disorder.

Noel devises an unorthodox cure for a stray cat with a badly fractured leg. And a cross-breed called Piggy has a spinal problem that leaves its family facing a difficult decision.

Noel Fitzpatrick faces a new challenge when he is called upon to save the life of a buzzard with a broken wing. A couple's beloved labrador turns up at the clinic with badly damaged elbow joints, and a pampered cat that is used to living the good life faces surgery to repair slipping knee-caps.

A Bengal cat called Tia is rushed in to Fitzpatrick Referrals after being hit by a car. Noel Fitzpatrick faces the painstakingly difficult task of reconstructing Tia's tiny bones using a combination of rods and pins. Whippet Wobble, a rescue dog, is so badly injured that Noel has no choice but to perform a high-risk operation, and Alfie, a labrador care-dog, arrives at the surgery in need of help with elbow dysplasia.