Everyone prepares for London amid another flare up between Tammy and Amanda; Chris and Tammy visit Dr. Turner hoping to get approved for skin removal surgery; the family participates in a 5K and Amanda makes her move to Florida.

The family deals with the aftermath of Amy's meltdown. Back home, Chris gets skin removal surgery. Amy has a risqué photoshoot. Tammy finds doctors who can do her skin removal surgery but some test results force Tammy to confess a long-held secret.