In King County, Washington, Dr. Jeff Lang has been married for ten years with Nealy Lang and they have a little boy. Their best friends are Rebecca Mazzoni, who studied with Jeff in the medical school, and her husband Peter Mazzoni. Jeff decides to sod his backyard, but the grass comes with worms underneath and raccoons destroy his sod during the night. Jeff wants also build another room in the house for his planned second son, but the City Hall blocks the project. Jeff decides to build the room without the approval and he gives a beautiful plant for his next door neighbor, the unstable Lila (Laura Linney) that lives with her cat Matthew, expecting that she does not denounce his construction work to the authorities. Jeff also likes to play basketball with his friend Lincoln, who has kidney problem and needs hemodialysis. However, the raccoons disturb Jeff and Nealy has not had sex with him for six months. Jeff decides to poison the raccoon and he meets Rebecca to drink and relief his bitterness about his dried up of sex marriage and they end the day having sex in Rebecca's home. Jeff finds a better work for Lincoln as a coach at a school and he learns that his friend will die soon. Jeff gets close to a breakdown when Peter discovers that his wife betrayed him with Jeff; Matthew is accidentally poisoned by Jeff and Lila seduces him and they have sex. Jeff decides to donate one kidney to save the life of his friend, but when he is recovering from the surgery, he learns that Lila is pregnant and he comments his life with Lincoln. Will Jeff find redemption in his journey to hell?