One average day in Bikini Bottom, Squidward is playing his clarinet when SpongeBob goes outside to do some gardening. He thinks Squidward went to an Italian restaurant called Mario's. Suddenly, SpongeBob notices two construction workers putting up a billboard. Thinking Squidward's music is flatulence, SpongeBob becomes noisy to cover it up until Squidward alerts him to stop. Getting mad at the billboard workers, he then discovers the Bikini Bottom Symphony Orchestra is holding a competition for an original score.
Following a series of events starting with Patrick breaking his butt, Squidward tries not to get distracted by SpongeBob's home doctoring. After turning in his score, he finds that he wrote down all of SpongeBob's doctoring. When it's Squidward's time to perform, he finds SpongeBob squeezing a rubber duck and Patrick going "Woo!" while SpongeBob is on a seat, bashing Patrick's brain, causing a farting noise and making his eyes pop out. All while Squidward is conducting the orchestra, and barely paying attention to his conducting, due to SpongeBob and Patrick distracting him with their odd procedures to each other.
The audience gives a round of applause to Squidward, who is happy. SpongeBob says to make sure Squidward doesn't get a "swelled head." The camera cuts to only Squidward, whose head inflates due to Patrick squeezing the pump of the blood pressure, and the episode ends by the screen blacking out as an explosion is heard.
I can turn into a skyscraper!
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It is not known if Squidward needed silence to concentrate, but it never occurred to him to close the window.
When Squidward finally finishes writing his song, he has that same look on his face that he had in the episode "Squid's Day Off," when he locked himself in his house. However, sand was added to his eyes in this episode.
The first time SpongeBob puts on a rubber glove and makes the squeaky sound and Patrick goes "Woo!," may have implied that SpongeBob was giving Patrick a prostate exam. However, he was just playing with a rubber duck that amused Patrick.
In Poland, the explosion sound at the end is cut from Nickelodeon airings, but left intact on PULS 2 airings.
The symphony the orchestra plays may have been from Heroes of the Bible: Lions, Shepherds and Queens (Oh My!)
SpongeBob said, "Sounds like Squidward ate at Mario's last night." The restaurant "Mario's," a fictional Italian restaurant mentioned in this episode, could be a reference to Mario the popular video game character from the Super Mario Bros. series.