Episode - 9F09\\
First Aired - 12/17/1992

Years of fatty foods and minimal exercise has taken its toll on Homer's heart and Dr. Hibbert advises Homer to get an artery bypass graft for $40,000. With the family unable to afford the operation, much less even (in)adequate medical insurance to cover the cost, Homer is forced to turn to a BackAlleyDoctor's $129.95 hack-job to save his life. Can Lisa and her newfound knowledge of cardiology save the day?
!!This episode contains examples of:
* AesopAmnesia: Despite the episode’s stressing how serious Homer’s surgery is after it’s done he immediately goes back to his bacon eating ways and doesn’t learn anything
* AndThereWasMuchRejoicing: Merry Widow Insurance Company has a neon sign featuring a widow happily dancing on her husband's grave while holding money.
* BadCopIncompetentCop: The ''Series/{{COPS}}'' parody, with many WhatAnIdiot moments involving Chief Wiggum bungling the bust of a cattle rustler, despite clearly obvious clues as to the what's, where's and who's. When the suspect – Snake, a man Wiggum has encountered many times before – makes a getaway, Wiggum cannot so much as even give a grossly inadequate description of the car or the suspect … except that the SuspectIsHatless.
* BaitAndSwitchComment: Mr. Burns uses this to lure Homer into a false sense of security.
-->'''Mr. Burns''': Relax, Simpson. I just brought you in here for a friendly hello...\\
'''Mr. Burns:''' ...and goodbye! YOU'RE FIRED!\\
''(Homer gags)''\\
'''Mr. Burns''': But, wait. Perhaps I'm being too hasty. You are highly skilled...\\
'''Mr. Burns''': ...AT GOOFING OFF!\\
''(Homer [[HollywoodHeartAttack clutches heart]])''\\
'''Mr. Burns:''' Now don't worry, Homer. You're the kind of guy I could really dig...\\
''(Homer relaxes)''\\
'''Mr. Burns:''' ...[[OverlyLongGag A GRAVE FOR!]]\\
'''Homer:''' Aaargh! ''(heart beats faster than anything)''\\
'''Mr. Burns:''' [[SesquipedalianLoquaciousness Your indolence is inefficacious]]!\\
'''Homer:''' Huh? ''(heart beats normally)''\\
'''Homer:''' Aarrggghh! ''(heart goes crazy until he collapses)''
* BeatStillMyHeart and MagicalSecurityCam: We get an inside look on Homer's heart reacting to Mr. Burns yelling at him. His heart appears to be trying to listen when Burns said "Your indolence is inefficacious." We get another look at the end of the episode.
* CantGetAwayWithNothing: When Homer is praying, a nurse shows him a sign prohibiting that. [[SelectiveEnforcement Flanders was praying earlier in the episode and it didn't happen to him]].
* CharacterizationMarchesOn: Lisa purchases a cow heart from the butcher shop to practice cardiology with, long before she became a vegetarian and opposes animal experimentation.
* ComicallyMissingThePoint: When Homer left the gas station [[SkewedPriorities in relief the thumping noise he heard was his heart and not his car's transmission]].
-->'''Kid:''' Where's he going?
-->'''Gas Station Attendant:''' You remember that old Plymouth we just couldn't fix?
-->'''Kid:''' We're going to sell him to Mr. Nikopopolous?!
-->'''Gas Station Attendant:''' You're a dull boy, Billy.
** Homer doesn't seem to understand when Dr. Hibbert explaining to him that he has to cut him open to fix his heart. No matter ''how'' much he has to dumb it down.
* DerangedAnimation: Homer's heart attack, wonderfully animated by David Silverman.
* EarlyInstallmentWeirdness: This is one of many early episodes in which the Simpsons home address was ''not'' 742 Evergreen Terrace (which explains why it's Snake's address in this episode), so for anyone watching the episode for the first time and asking "Why is Snake hiding out at the Simpson house?", the answer is, "That's not their established home address...yet."
* EpicFail: The Springfield cops didn't bother to look at the house right next door while looking for a cattle smuggler...which has cattle sitting out in the open.
** Homer and his fellow coworkers gave up health insurance for ''[[SkewedPriorities a pinball machine.]]''
** One of Dr. Nick's past surguries ended up with the patient having two of his limbs in the wrong sockets.
* EveryoneHasStandards: Zig-zagged. While Mr. Burns is willing to poison Homer [[DisproportionateRetribution for eating doughnuts on company time]], Smithers wasn't (even going as far as the consult the attorneys about it). Also, while Patty and Selma initially don't care that Homer suffered a heart attack, when they bring around a new man for Marge named Andre while Homer is in surgery, even they realize [[HeelRealization how tasteless it appears]] and genuinely wish him to pull through (although [[JerkAss Andre]] doesn't).
* FireAndBrimstoneHell: After Homer's heart attack at The Merry Widow Insurance Company, he tells Dr. Hibbert about being in a "wonderful place filled with fire and brimstone and there were all these guys in red pajamas sticking pitchforks in my butt."
* FlyInTheSoup: Homer gets out of a diet by claiming to spot a fly in the healthy meal Marge prepared. Later, while he's eating something he likes to eat, he refuses to believe when someone else notices a fly.
* FreezeFrameBonus: After Homer's heart whacks out, for some frames it turns into a playing-card type club, spade, diamond, and a heart.
* GilliganCut: Homer tells the kids he's not going to sugarcoat the truth for them. Next, he is depicting his upcoming bypass surgery as a fairy tale, puppets and all.
* HammerspaceHair: In the ''COPS: In Springfield'' opening, the cops find weapons (brass knuckles, a grenade, and a handgun) inside Jasper's beard.
* HollywoodHeartAttack: Happens when Mr. Burns berates Homer for the latter's work ethic.
** Also somewhat of an aversion as his symptoms had started well before he collapsed, unlike the common Hollywood approach where the character is unaware until he/she clutches their chest and keels over. Of course, much of it still plays out in cartoonish ways.
* HypocriticalHumor: When Marge gives Homer a bowl of oatmeal for breakfast, he lies there's a bug in it and throws it away. Moments later, as he is gorging himself on some bacon and eggs, Bart spots a bug on it, but Homer simply shrugs and keeps on eating.
* IncrediblyLameFun: Homer is easily amused by the adjustable hospital bed: "Bed goes up, bed goes down!" To the point where Lisa imagines him playing with one in FluffyCloudHeaven.
* InsuranceFraud: Homer tries to get an insurance to treat a pre-existing heart condition. He fails because he has an attack right when he's about to sign the paperwork.
* MatchCut: Lisa has one ImagineSpot with Homer in heaven lying down on a cloud and reclining it the same way he does with his hospital bed. It cuts to Homer at the hospital doing exactly that.
* NoodleIncident:
** Krusty's hospital visit is part of his public service for a crime that's described as "glug-glug, vroom-vroom, thump-thump!" (most likely a drunken hit and run).
** Flanders thanks God for "Sweating to the Oldies" volumes one, two, and four. What was on volume three that would make Flanders not thank God for it?
* ObnoxiousInLaws: Marge's sisters introduce her to a potential new husband while Homer is being operated. Earlier when Marge freaked out over Homer being in the hospital, rather than feel remorse or worry about their sister losing her husband, they gasp over a coupon for five cents off wax paper.
* OffModel
** For a few seconds, Homer's bacon and eggs breakfast (which consist of standard colored reddish-pink bacon and yellow eggs) reverses colors.
** Homer's near-fatal first heart attack. But [[DerangedAnimation in a good way]].
* OutlivingOnesOffspring: Spoofed:
--> '''Grampa''': They say the greatest tragedy is when a father outlives his son. I've never fully understood why that is. Frankly, I can see an upside to it!
* RealityEnsues: Homer's lifestyle would cause major health problems, as he suffers recurring heart attacks that require major surgery. Also, as he has no health insurance, he can't afford the expensive surgery and has to go to back alley quack Dr Nick.
* RunningGag:
** The word "hell" is said seven times in this episode ("What the hell is this?"[[note]]Homer's reaction to getting oatmeal for breakfast[[/note]] "What the hell is that?"[[note]]Dr. Nick just before Homer's operation[[/note]] "We had a hell of a time replacing you,"[[note]]Carl telling Homer about what happened at work while he was sick[[/note]] "Ah, what the hell, sure,"[[note]]a customer at the Kwik-E-Mart ordering vodka with his beef jerky[[/note]] "Hell no,"[[note]]Moe answering Barney's question of whether or not they should start over their moment of silence for Homer[[/note]] and "What the hell am I going to do with this jumbo thong bikini?"[[note]]Barney thinking Homer's bypass operation is a sex change operation[[/note]])
** "Bed goes up, bed goes down."
* SelectiveObliviousness: When Marge, out of concern for Homer's health, gave him something he'd rather not eat, he "saw" a fly on it. Later, as he started eating bacon, he dismissed warnings about a fly on it.
* ShoutOut:
** The scene where Homer sings "O, Holy Night" in a church as a boy (and was doing a great job until his voice changed) is based on ''Film/EmpireOfTheSun''.
* ShowWithinAShow: ''COPS: In Springfield'' and ''People Who Look Like Things''.
* SuicideAsComedy: During the ''COPS: In Springfield'' opening, Chief Wiggum tries to get a suicidal man off the ledge of a building. Rather than come back in, the man decides to drop to this death. And to [[CrossesTheLineTwice add insult to injury]], Chief Wiggum makes the "cuckoo" finger-to-temple swirl as the man plummets to his death.
* SuspectIsHatless: This episode is the TropeNamer.
-->'''Homer:''' I can't wait 'til they throw his hatless butt in jail.
* ThemeTuneCameo: Homer's heart beats to the show's theme at the end.
* TheyKilledKennyAgain: Hans Moleman dies for the first time, via [[ItMakesSenseInContext Edgar Allan Poe's exploding birthplace]].
* VocalEvolution: In a flashback, a young Homer has a beautiful singing voice while performing "O Holy Night" in his children's choir, which then cracks and gives way to his adult [[HollywoodToneDeaf singing]] voice.
* WiseBeyondTheirYears: Lisa makes some staggering mental leaps in this episode. She instructs Nick on where to make the incision for Homer's bypass, and even provides the exact name of the medical procedure involved based solely on Homer's deliberately dumbed-down rendering of it.
-->'''Homer:''' So the tiny Aorta fairies will take Mr. Leg Vein on a long trip to get married to Princess Left Ventricle.
-->'''Lisa:''' Dad, are you trying to tell us you're getting a coronary artery bypass graft?
-->'''Homer:''' [[WhatHeSaid Uh, yeah]].