新的一年来到，我们熟悉的象牙山村发生了许许多多令人耳目一新的变化。家家户户用上了电脑，与外界的联系更为紧密；服装和潮流紧跟时代的步伐，村民们更潮了；大脚超市规模扩大，俨然正“做大做强”。孔就在红火生活的另一边，人们的烦恼又徒然增多。谢大脚（于月仙饰）和长贵（王小宝饰）因苏玉红的存在矛盾不断，婚姻走向破裂；谢广坤（唐鉴军饰）看着刘能即将抱上外孙心急火燎，于是试图拆散小蒙（毕畅饰）和永强（贺树峰饰）的婚姻；王大拿（赵本山饰）本好心帮大脚夫妇结尾，谁曾想惹来杨小燕猜忌；刘能则和赵四为了外孙展开连番较量。新的喜悦，新的烦恼，穿插在象牙山村可爱的村民之间……
内详
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.
艾飞、陈俊豪及林才为大学友好，以爱情没有收获，竟联袂到夜总会，惟见庸脂俗粉却很是厌恶，但发现校内林黛玉型的女同学陈维英竟是舞女；席间遭一老头死缠，俊豪仗义护花，种下爱苗……