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Dynasty - Season 7 - Episode 168 - The Surgery
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Dynasty - The Surgery is the 20th episode of the 7th season and number 168 overall the series.
In this episode, unwilling to give up on her daughter, Sarah nearly backs out of the surgery; a talk with Dex changes her mind and after a brief delay, Krystina has the heart transplant. After Neil McVane provides him with evidence that he is not, in fact, the Adam Carrington, Adam questions Alexis about the kidnapping. Following an unpleasant first encounter, neither Clay nor Leslie is happy when Dex offers Leslie a job as Clay's assistant.