This drama is set in a south Florida plastic surgery center, McNamara-Troy, centering around the two doctors who own it. Sean McNamara (Dylan Walsh) is having problems at home, trying to keep his family together, trying to patch up the rocky road him and his wife Julia (Joely Richardson) are experiencing. On the other hand, sex-craved Christian Troy (Julian McMahon) uses his charm to bring in potential female candidates and conducts shady business deals, often for the love of money. While Sean takes his job seriously, he often has to fix Christian's mistakes. During the first season, Sean and Christian got mixed up with Escobar Gallardo, a Colombian drug lord who forced the two to do free surgery whenever he wanted them to. Sean's marriage with Julia began to wear thin, and Sean had an affair with a patient named Megan O'Hara. Julia went back to school, but it was interrupted by a miscarriage of a child Sean and Julia were trying to have. Christian learned he is the father of a baby with a woman named Gina, who he met at Sexaholics Anonymous. When the baby was born, we learn that the baby is African-American, and therefore not his. Julia questions Matt's paternity.

　　康熙五十七年，皇族秋獵，于木蘭圍場遇暴客行刺，戌衛(wèi)精兵潰傷，哈達(dá)親王殞命，康熙怒遣皇四子雍親王（鄭少秋飾）南下緝兇。雍親王愛新覺羅胤禛遂化名傅示真，微服簡從南下查案，于石門結(jié)識江南名儒之女呂絲絲（梁琤飾），二人協(xié)力，鏟桐山賊，保振遠(yuǎn)鏢，幾番出死入生，患難與共，情愫漸長，相知益深。
　　原木蘭山左翼長劉勇，因行刺案遭牽連，身系囹圄，妻小流散。二子改從母姓，曰李衛(wèi)，李才。衛(wèi)輾轉(zhuǎn)投至皇十四子大將軍王麾下，于西疆屢建戰(zhàn)功。才往石門奔東海書院，習(xí)文印詩，一心潛學(xué)。東海書院山長呂留良，即絲絲父，為士林巨擘，倡興漢學(xué)，拒不仕清，又與反清組織江南八俠素有往來，深為朝廷所忌。
　　胤禛欲以康熙南巡發(fā)賑為餌，巧計拿敵。不意雙方對峙少林之際，意外發(fā)現(xiàn)江南八俠之一虞慧兒，竟是十多年前落水失蹤的十七格格，康熙望女得歸，大喜，封為佛抱。
　　為保佛抱格格順利入宮，胤禛托請絲絲傍隨照料。絲絲遂辭別父親，北上皇苑，與佛抱格格位，胤禛得總理大臣隆科多襄助，順利登極，改元雍正。
　　為使胤禛斷思，呂家將絲絲許給李才為妻。文定之禮方畢，呂父謝世，絲絲大慟。而雍正君臨天下，治風(fēng)勤嚴(yán)，與絲絲南北乖隔，遙相用忍。
　　李才得絲絲之鼓勵，應(yīng)考取官，一試中的，以狀元內(nèi)封大學(xué)士，侍命軍機處，深為雍正所重。李衛(wèi)亦為雍正收買，先后于皇十四子允示題胤祀與川陜總督年羹堯處臥底，雍正元年，胤祀囚景陵，三年，年羹堯遭賜死，李衛(wèi)得扶搖直晉浙江巡撫。任內(nèi)，查得石門東海書院有盜竊官糧，私通明遺之嫌，遂迭報軍機處，請拿呂家。雍正十年，東海書院滿門抄斬，兩百馀命葬于亂墳。絲絲李才上京請命未及返回，得存。遭逢巨變，絲絲悲憤無已，誓謀雍正以報血仇。不料三刺未中，反遭雍正所制，二人限期共理朝政，十八個月后維民所止。絲絲遂擢封呂侍讀，協(xié)助雍正改革賦役，整頓吏治。期限屆至，雍正視死如歸，絲絲不忍，延期活之。
　　李才丟官之后，游名山大川，寫三朝演義，因書中觸露宮禁，問罪被刑。絲絲感其情深義重，獄中委身，生子圖報。
　　大限有期，天地會內(nèi)外傾逼；雍正十三年八月廿三子夜，胤禛端坐就戮，絲絲苦劍徊腸，十五年恩仇難泯，牡丹亭生死成謎。
　　弘歷即位，改朝乾??； 二十年，聞?wù)f黃山之巔有雙神仙俠侶，貌似雍正絲絲，眾人登山尋訪，卻哪見仙蹤俠影。正所謂，吳水深萬丈，楚山邈千重，雌雄終不隔，神物會當(dāng)逢。