While the boys are waiting for the school bus, Cartman explains the odd nightmare he had the previous night involving alien visitors abducting him from his bed. Meanwhile Kyle and Stan try to convince Cartman that the dream was in fact a reality.

The show starts off with the build up from last season's cliffhanger revolving around Cartman's paternal origins. However, just as it seems they are about to get on with the second half of "Cartman's Mom Is A Dirty Slut," they do a 180 degree turn-around and reveal that for April Fool's Day they will be showing Terrance & Phillip in "Not Without My Anus."

Mr. Mackey punishes the boys by forcing them to join the "Getting Gay With Kids" choir. The choir is going to Costa Rica to help save the rainforest. While on a tour of the rainforest the choir group gets lost when a snake kills their guide. They soon discover the evils of the rainforest, which changes the choir group's message.

The kids are have just won a sledding race. Token says that the only reason they won is because of Eric's fat ass. The girls challenge the boys to a sledding race down Phil Collins Hill. Token says that the boys can't lose thanks to Eric's fat ass. Eric then tosses a rock into the side of Token's head. The people of South Park claim that this was a hate crime and send him to jail.

Cartman goes medieval on Scott Tenorman's ass when ginger-haired Scott tricks our supple hero into buying his pubic hair for $16.12. Radiohead guest stars and plays a role in Cartman's elaborate scheme at getting sweet revenge on his unsuspecting foe.

The kids learn that Talk Shows offer special assistance to grossly disfigured people who appear on their show. They immediatly sign Butters up as a guest with a a strange deformity. With the help of some strategic physical enhancement, Butters is sure to beat out all the other freaks and win a prize. However, when there isn't enough of Butters' prize to go around Cartman makes a bid for his own guest spot with Maury when he talks him mom into joining him on the segment entitled, "Please Help My Out of Control Child"

In order to get out of school, the boys enter an anti-war demonstration. Not really knowing what they're protesting for, Mr. Garrison decides to teach the boys a lesson by making them write an essay about our founding fathers. Cartman, (being the lazy asshole that he is) says that studying is way too much for a nine-year-old to handle and decides to cook up a crazy scheme in order to get out of it. With a crashing boulder, and electrocution Cartman finally gets what he wants... a flash back.

South Park takes on the look of Japanese Anime. The boys are transformed into Japanese Warriors after they buy martial arts weapons at a local flea market. Their sworn enemy, Professor Chaos, confronts them and a highly stylized battle ensues.

Mr. Garrison goes to great lengths to get what he's always wanted a sex change. As he enjoys his new womanly attributes, the rest of the town gets in touch with their inner feelings too. Meanwhile, Kyle wrestles with the fact that Jews just aren't good at basketball.

The town is jolted out of a case of the doldrums when Chef suddenly reappears. While Stan, Kyle, Kenny and Cartman are thrilled to have their old friend back, they notice that something about chef seems different. When Chef's strange behavior starts getting him in trouble, the boys pull out all the stops to save him.

Randy Marsh tries to find forgiveness after mistakenly using a racial slur on "Wheel of Fortune". Meanwhile, Cartman fights a midget.

After a routine tonsillectomy goes horribly wrong, Cartman comes face to face with his own mortality.