Timmy is playing his Action Surgery! video game when Cosmo and Wanda come to tell him that their wands are having a 50,000-wish tune up today, so they're going on vacation to the Six Wands Fairy Resort. In the case that Timmy still needs to make a wish, they leave him with a chest of Wish Tokens, with which he can use to make any wishes while they're out. But before Timmy can actually use them, Chester and A.J. show up and he goes to show them his video game.
Moments after he leaves with them, Tootie comes by, wanting Timmy to come play with her. She notices the tokens and, after reading the instructions in the box, uses one of the tokens to wish Timmy could be with her. Timmy gets pulled back to her vicinity, despite his attempts to escape. When Timmy sees that Tootie has gotten her hands on the Wish Tokens, he tries to get them back, but she grabs another token and wishes that Timmy agree to play dolls with her. Afterwards, Tootie uses some more of the tokens to make him play jump rope with her, then dress-up, and then tea party (with him still wearing his feminine outfit from the dress-up). Chester and A.J. walk by during that and laugh at Timmy's expense as he tries unsuccessfully to cry for help. Then Vicky comes by and takes a photo of Timmy's embarrassment, but Tootie then wishes for a cyclone to come and blow her away.
While Tootie isn't looking, Timmy snags one of the remaining tokens and wishes for Cosmo and Wanda to come back, but they don't have their wands back and can't help him. After Timmy puts his own clothes back on, Tootie wishes for Timmy to kiss her. She then notices that Timmy's not at all happy right now. Since she wants him to be happy too, she allows him to use the last Wish Token, and he wishes that she never found the tokens. Afterward, Timmy finds himself feeling a bit guilty that Tootie gave up her own happiness for his. Tootie walks up to him again and asks him to come play with her, but this time, he agrees to play one game of ball with her. As Tootie happily drags him off, Timmy leaves the Wish Tokens with Cosmo and Wanda, and then Wanda uses one to make Cosmo have a tea party with her.