Looking to give her life a purpose, Gabrielle decides to organize a glamorous Halston fashion show for charity highlighting the ladies of Wisteria Lane. Bree and Rex are at odds on how to punish Andrew for putting Mrs. Solis in the hospital and finding drugs in his room. The police investigate a toy chest that Paul Young dumped in the river. Lastly, Lynette uses her business acumen to poach a nanny, Claire, but ends up getting involved between her current employer, Alexis.

Uber mom Maisy Gibbons returns, and her secret life intersects with Bree's. Meanwhile Gabrielle's predicament worsens as she gets a taste of her own medicine, courtesy of Carlos's jailhouse confession. Susan plans to take her relationship with Mike to the next level, and Lynette, suspicious (and a little jealous) of her new nanny decides to secretly videotape her. Lastly, Susan sends Zach Young back home to his father, who makes a startling admission of his own.

When Lynette's father-in-law pays a visit to to the family, she unwittingly learns a family secret. Meanwhile, Susan is disturbed by Julie's growing romance with Zach. Rex attempts to reconcile with Bree as she tries to play hard-to-get. Lastly, Gabrielle is shocked when John's parents ask her for a favor in convincing John to move back home as he officially turned eighteen and no longer wants to live at home and trying to pursue a relationship with Gabrielle.

Carlos and Gabrielle decide to adopt, but the process comes to be a lot more difficult than either had expected. Susan finally has her surgery as she finally has medical insurance. Meanwhile, a showdown between Bree and her son Andrew lead to a full out war between mother and son. Also, a dying Noah Taylor learns more about Paul Young and his biological grandson Zach. Lastly, Tom is having more difficulty at the job when having to take orders from his boss and wife Lynette.