"Ugly" is the seventh episode of the fourth season of House and the seventy-seventh episode overall. It aired on November 13, 2007. The episode revolves around a teenager named Kenny Arnold with a major facial deformity. He is set to get surgery in order to remove the deformity, but has a heart attack just prior to the surgery. Dr. Gregory House, who still has not hired a new diagnostic team out of six interns, tries to figure out what is wrong with Kenny. Kenny was being filmed by a documentary crew during the process of the surgery. House has to find out what is wrong with Kenny while being filmed by the crew.