Ugly (House episode)

"Ugly" is the seventh episode of the fourth season of House and the seventy-seventh episode overall. It aired on November 13, 2007. The episode revolves around a teenager named Kenny Cyrus with a major facial deformity. He is set to get surgery in order to remove the deformity, but has a heart attack just prior to the surgery. Dr. Gregory House, who still has not hired a new diagnostic team out of six interns, tries to figure out what is wrong with Kenny. Kenny was being filmed by a documentary crew during the process of the surgery, so House has to find out what is wrong with Kenny while being filmed by the crew.

The episode was watched by 11.4 million viewers, making it the eighth most-watched program of the week. The episode gained positive reviews by critics, who were surprised by the story surrounding Dr. Chris Taub, one of the fellowship applicants, in the episode.

A documentary film crew is chronicling a teenager named Kenny (Khleo Thomas) with a major facial deformity who opts to undergo a dramatic reconstructive procedure. When Kenny suffers a heart attack just prior to the surgery, House and the team are called in to determine the cause, since the surgery cannot proceed until Kenny's cardiac condition is diagnosed.

As the film crew continues to document Kenny, House becomes increasingly annoyed and tries to avoid them by briefing his team by the MRI machine and in surgery. However, ultimately he cannot escape the cameras and the candidates find themselves acting self-consciously in front of the lens. Meanwhile, House begins to regret recruiting former CIA doctor Samira Terzi (Michael Michele) when she fails to demonstrate the intelligence he witnessed at Langley. Wilson, who believes that House is being distracted by Terzi's looks, offers up the solution to quickly fire her and then ask her out on a date. He also notes House's propensity to hire attractive women, which led him to this situation. House argues that he's "not that guy"; Wilson retorts "every guy is that guy". During the episode the film crew also interviews Cameron, asking why she resigned and making it look like she was romantically attracted to House.