Jazz prepares for a final weigh-in for her gender confirmation surgery; Dr. Bowers shocks Greg and Jeanette with changes to the surgical plan; Jazz and her friends head out for a night of fun at prom, but it turns into a nightmare.

With Jazz's surgery weeks away, Jeanette feels scared and unprepared; Sander's hurt that Griffen's spending more time with his girlfriend; Jazz, desperate for love, runs into her old flame, Victoria; Jazz gets a scary prediction about her surgery.

Jazz agrees to an interview for ABC's "Nightline" to discuss her upcoming surgery; Jeanette throws a farewell party for a certain part of Jazz's anatomy; Jack faces a health issue that might affect his ability to travel to NYC for Jazz's surgery.

The final stages are set for Jazz to undergo the most significant procedure of her entire life, gender confirmation surgery; her doctors provide the final details of this highly experimental and potentially complicated operation.

Jazz's doctors perform her groundbreaking bottom surgery while her family anxiously awaits news; with the OK from her doctors, Jazz is released to recover in a hotel; days later, Jazz suffers complications and is rushed back into the operating room.

Jazz is rushed into emergency surgery due to a major complication. While staying with Jazz for her recovery in New York, Jeannette learns Jack is fighting for his life in a health crisis of his own.

Jazz's boyfriend, Ahmir, visits; while Jazz learns to kiss and falls for Ahmir more and more, her friends have major concerns; Dr. Bowers asks the Jennings to fly to NYC so Jazz can be examined ASAP; Jazz goes missing and her parents fear the worst.

Jazz's relationship is put to the test when she learns that Ahmir has a transphobic mother; Dr. Bowers comes to Florida to see if Jazz needs a more extensive surgery; Jazz wants to move out and tries to convince Ari they should be roommates.

Jazz and Jeanette travel to NYC for a follow-up appointment with Dr. Ting; Ahmir has a harsh reaction to details of Jazz's bottom surgery; Jazz confronts Ahmir's transphobic mother, who in turn claims Ahmir is hiding something from Jazz.

Jazz reevaluates her relationship with Ahmir after returning home from NYC. Jeanette tries to convince Jazz to wait to move out of the house. Jazz and Jeannette’s attempt to reassure parents of transgender kids about bottom surgery backfires.

Jazz turns 18 and starts making plans to move out of the house, much to Greg and Jeanette’s dismay. Jazz also launches her own kids’ day camp but worries her very first event will fail. The family plans a surprise outing to celebrate Jazz’s birthday.