- Gilligan's nose is badly swollen after he falls from a coconut tree. The professor swears the swelling will go down in a few days, but Gilligan wants the professor to operate and give him a new nose.
- While collecting coconuts, the Skipper (Alan Hale Jr.) sends Gilligan (Bob Denver.) Up another tree against his will to get more, but Gilligan distractedly reaches out too far and falls to the ground. Hearing his scream, both the Skipper and Professor (Russell Johnson.) Come running and find Gilligan unconscious on the ground and his nose swelling up and The Professor tells Gilligan to take a deep breath and Skipper says: "But breath through your mouth little buddy!" And The Professor applies cold compresses to Gilligan's nose. As the first real accident on the Island, it makes the Professor realize that everyone needs to learn how to do first aid. Unfortunately, in trying to teach Mrs. Howell (Natalie Schafer) and the girls how to treat each other, Mr. Howell (Jim Backus) and the Skipper sprain their arms in falls from tables. However, the Professor sprains his arm and his leg. Meanwhile, Gilligan becomes self-conscious about his nose and starts to believe it's broken and will never heal. Both Ginger (Tina Louise) and Mary Ann (Dawn Wells). Pretend to flirt with him to get his mind off his nose, but he overhears them talking with Mrs. Howell, and his insecurity returns worse than before. He pleads with the Professor to operate on his nose, and the Professor finally relents. A mold is made of his head, briefly turning him into a monster which actually terrifies the women on the island and even himself at one point. The girls then make celebrity noses for Gilligan to choose from for his operation, and after the Castaways aid the Professor in the surgery, Gilligan goes five days with a with a bandage on his nose. When it finally comes off, he looks in the mirror disappointingly because he has his own nose back. The Professor confesses he only faked the surgery for Gilligan's benefit, putting the bandage on his nose to distract him from it. Although disjointed from the fact, Gilligan is content to be back to normal, but later that week as Gilligan is caddying for Mr. Howell, the Skipper joins them. Mr. Howell tries teaching the Skipper how to golf, who rears his club back and hears a familiar scream. Terrified he hit Gilligan again, Skipper and Mr. Howell look back to the Professor who has his hand over his nose Gilligan is standing next to him. Skipper asks him if he's all right and if he hurt him. The Professor who in trying to join in removes his hand and now has his nose as swollen as Gilligan's nose was. Gilligan tells The Professor: "Oh Professor don't you worry, I know what to do! Does it hurt here?" And touches his nose causing him to scream. Gilligan runs away saying: "Dr. Gilligan to surgery! Dr Gilligan to surgery!" The Professor feels his swollen nose as the episode ends.
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