In the episode titled 'The Surgery,' which aired on February 23, 1958, Doc Adams faces a challenging situation when he needs to perform surgery on Lucy Middleton. However, her husband vehemently refuses to allow him to operate, creating a tense dilemma. The episode explores themes of trust, medical ethics, and the persistence of the characters as they navigate through a crisis. The action unfolds with Doc being determined to save Lucy, even as tensions rise between him and her husband, showcasing the moral complexities of medicine in the Old West.