Amy faces the judge for the final time. Tammy addresses Amy about her weight gain. The family heads to Pittsburgh for Tammy's skin removal surgery but while Tammy goes under the knife, the siblings go head-to-head in the waiting room.

The older siblings are stunned when they hear about Amy's new life update. Chris, Misty and Tammy fulfill a lifelong dream and go ziplining. Amy finally has her day in court. 

Tammy takes a big step forward in her relationship with Andrea; with Amy's court date looming, her boyfriend has a life-altering surprise up his sleeve that leaves everyone speechless.

Amy reels emotionally and physically from her camel bite and arrest. Chris explores a passion project, and Tammy expands her circle and fulfills a childhood dream. 

Tammy reveals to her sisters that she's dating a woman and their reaction surprises her. Chris and Tammy check-in on their skin removal progress, and a harrowing moment at the petting zoo sees Amy's life turned upside down.

Tammy gets a push to reveal her personal life to her family. Amy's life gets even more chaotic, pushing her to make a rash decision. Chris and his wife make a big decision about her health.

Tammy and Amy are back—facing life's most unexpected hurdles, including navigating new romances and health hurdles.