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Tom tries to bond with his new boss; Karl makes Susan an offer she can't refuse; Bree plays sleuth at Betty's house; and Gabrielle puts her house in order.
Dr. Ron tells Susan that she needs surgery, but she's reluctant to have him operate on her; Bree and Betty learn that they have more in common than they thought; and Gabrielle and Sister Mary Bernard square off.
Gaby's mom shows up, and Carlos learns more about why this mother-daughter relationship is so messed up. Meanwhile, Karl has a question to pop, and Lynette discovers the extent of Bree's drinking problem