Jack is nearly delirious from lack of sleep and struggles to overcome the haunting events that brought him to Australia and, subsequently, to the island. Meanwhile, Boone gets caught in a treacherous riptide trying to save a woman who went out swimming. A pregnant Claire's health takes a bad turn from lack of fluids, and a thief may have stolen the last bottles of water. Veronica Hamel guest-stars as Jack's mother, Margo.

Also, Jack flashes back at 12 years old, to find himself on the playground in an altercation with a bully, who ultimately beats him up, and later learns a life lesson from his father.

Sayid goes back to the island to bring the rest of the people to the freighter. Ben, Locke, and Hurley go to another Dharma station in order to "move the island".

On Jacob's orders, Hurley leads Jack to a lighthouse. Meanwhile, Claire questions an Other she has captured while tending to an injured Jin. In the flash sideways, Jack is a single father trying to bond with his son.