In the 45-minute production, Elmo and Abby Cadabby learn about the different ways birthdays are celebrated by taking part in Dorothy's birthday party on Sesame Street and Little Red Riding Hood's birthday party in Fairytaleland. At her party, Elmo sees the different ways fairy tale characters celebrate birthdays, playing games like "Fetch a Pail of Water" and having birthday wishes instead of presents. However, Abby doesn't know how to send Elmo back to Sesame Street for Dorothy's birthday.