Everyone at the Freakshow is excited for Boobzilla, a performer who crushes soda cans and lifts objects with her size 44R cup breasts. When she arrives, she explains that her large chest is due to gigantomastia, a condition that causes her breasts to grow uncontrollably. For her debut Freakshow performance, Boobzilla would like to lift Amazing Ali with her breasts. Unfortunately, Ali has been experiencing hip pain and doesn't think she'll be able to do the stunt. With Todd's urging, Ali visits a doctor, who says hip replacement surgery is her only option. Ali fears that a lengthy absence from the Freakshow will make her seem obsolete, but Todd assures her that her position will be there when she returns. Before her surgery, the Freakshow gang visits Ali at the hospital. After a lengthy wait, Ali's doctor arrives and delivers the good news: Ali's surgery went great.
Other episodes for this season