The episode begins with a young couple, Todd and Lurlene, who are sitting together in a car near a cliff. Lurlene, who has breast implants, tells Todd that she wants a "bad boy", as he his too nice for her. Suddenly, a man in a bondage outfit appears and Todd and Lurlene drive off. Mr. Pickles appears and pushes the man off the cliff.
After the title sequence, the Goodmans are seen eating breakfast. The family is drinking soy milk because their cow, Betty, is pregnant. Mr. Goodman is disgusted by the soy milk because he heard that it contains the female hormone estrogen. Mrs. Milton, matriarch of Milton Farm, walks in with Grandpa and informs the Goodmans that she found him sleeping on their farm. Grandpa, who is missing his left shoe, tells the family that Mr. Pickles stole his shoe the night before after killing people at one of his "fetish parties"; as always, the family does not believe Grandpa's seemingly far-fetched story.
Tommy notices the young Suzie Milton and develops feelings for her. Mr. Goodman tells Tommy that he should simply tell her how he feels about her. Tommy and Mr. Pickles travel to Milton Farm and find Suzie milking her very old cow Gertie. Tommy tells Suzie that he loves her, but but she tells him to get a job first because of her increased responsibilities due to her father's alcoholism. Tommy goes on a job search and encounters Doc Walton, a cross-eyed man advertising "jobs", which happen to be cosmetic surgeries. Tommy tells Walton that he is looking for a job to pay bills with. Walton mistakes him for a female and gives Tommy breast implants. With his new breasts, Tommy goes to work for Jiggly Wiggly's, a local strip bar, and ends up at a table with Susie's father, Mr. Milton. He mistakes Tommy for a woman and wants to marry him, but he must first divorce Mrs. Milton.
Meanwhile, Mr. Goodman is late for work after encountering Wanda, an obese Hispanic woman confined to a wheelchair. She threatens to tell authorities that Mr. Goodman raped her if he does not do what she wishes. Back at the Goodman residence, Linda is trying to sell Mrs. Goodman a Shake-a-Baby, an electronic baby that is supposed to say "yes" or "no" to whatever question is asked; instead, it always says "no". Mr. Goodman's workplace calls to inform Mrs. Goodman that he never showed up for work. Mrs. Milton, who has learned of her husband's "affair" with Tommy, tells Mrs. Goodman that her husband might be cheating on her. The two find Mr. Goodman with Wanda at the local motel where Wanda lives. Mrs. Goodman, in disbelief, drives away with Mrs. Milton, who spots Tommy and Mr. Milton together. Mr. Goodman manages to escape and all characters end up back at the Milton Farm. Suzie's cow, Gertie, passes away while the Goodmans' cow, Betty, gives birth to a baby calf. Tommy gives the calf to Suzie and tells her she should have it. Suzie kisses him on the cheek. Betty is seen seemingly giving birth again--only this time, Grandpa comes out after earlier realizing that Mr. Pickles hid his shoe inside of Betty's lady parts.
Back at the Goodman household, the family is seen enjoying dinner, this time with real milk. Mrs. Goodman, believing that the estrogen in the soy milk was the cause of Tommy's breasts, tells him that her and his father will be taking him to a doctor the next morning. The episode ends with Mr. Pickles in his doghouse holding Doc Walton hostage and performing surgery to implant three sets of breasts on him. A group of other hostages who are formed together come toward Walton, proclaiming "Baby want milkey!"