Dr. Scott flies to a neighboring island to help a new client whose dog has been hit by a car; yet again, Scott's plane is a life saver.

A horse with a cracked tooth in need of extraction; an endangered coot; a blind pig; a goat that cannot pee.

Getting up close and personal with some sharks on Oahu; birthday celebrations are cut short by an emergency surgery.

Dr. Scott Sims gets down and dirty, dealing with blood, billy goats and a mysterious shrunken bull.

Scott finds his hands full on the island with trimming beaks, draining growths and stitching up hunting dogs.

Dr Scott helps a chicken with an infected eye, and heads to surgery to save the life of a horse with colic.

Dr Scott catches some feral cats, helps to save a horse that has been neglected, and finds a way for a two legged dog to keep on the move.

Dr Scott's assistants organise a surprise luau to make-up for his missed birthday, but must find a way to get him to the party without him knowing.