Rachel's pediatrician drops her as a client because she calls him incessantly to ask about any insignificant issue concerning Emma, so now she must find a new one, which puts Ross in an awkward situation. Meanwhile, Joey arranges a blind date for Phoebe. Also, as Chandler and Monica are preparing to leave for Tulsa, Monica receives a job offer from a prestige restaurant in Manhattan.

To help her younger sister, Amy, become a more responsible person, Rachel overrides Ross' strong protests and allows Amy to baby-sit Emma but soon regrets that decision. Meanwhile, Joey volunteers to write a recommendation letter for Monica and Chandler's adoption agency, however, he's concerned about not sounding smart. Also, Phoebe unknowingly thwarts Mike's "anniversary" surprise for her.