Al Swearengen is suffering dearly as Doc Cochran tries to remove his kidney stones. The only solution left is to cut him open, a procedure that only two out of ten men can survive. Elsewhere panic sets it when the County Commissioner arrives to review all mining claims. Many are assuming their claims will be rejected and are prepared to sell out at any price. E.B. Farnum tries to buy out Alma Garret but she shows that she's made of stern stuff. Cy Tolliver and Francis Wolcott make sure they're in on the ground floor as far as mining rights are concerned. Wolcott's favorite whore arrives to work at Chez Ami.