Trans couple Ahanu and Petrona struggle with family members over the decision to not gender their child. Ileana and Ross receive news that their son will likely need open heart surgery. Maddie, struggling with the growing distance between her and Randal, fears she's having a miscarriage.

Nicki and Mario receive devastating news. Ileana and Ross work through emotional challenges. Ahanu and Petrona welcome their child under unforeseen circumstances.