The film follows two comedians as they deliberate about going under the knife. Emily Askin, an up-and-coming Improv performer, has always wanted her nose refined. Jackie Hoffman, a seasoned headliner, considers herself ugly and regrets not having the nose job offered in her teens. And maybe she'd like a face-lift, as well. As we follow their surprisingly emotional stories, we meet others who have taken the leap - or held out. Putting it all in perspective are psychologists, sociologists, and cultural critics. And for comic relief and the profundity only comedians can supply - there are cameos by, among others, Judy Gold, Julie Halston, Lisa Lampanelli, Giulia Rozzi, Bill Scheft, and Adrianne Tolsch.