J.D. is planning on leaving Sacred Heart, but before he goes there are a few things that he wants to do including having a moment with Dr. Cox. Elliot is ready for the next step in her and J.D.’s relationship, and she begins secretly moving her furniture into J.D.’s apartment. Meanwhile, Dr. Kelso is thinking about going back to work.

During the final moments of his last day, J.D. begins to wonder about the future after he leaves Sacred Heart…if his relationship with Elliot will survive, or if he will remain close to his best friend Turk, and even if Dr. Cox will miss him when he is gone.