In the wake of the plane crash, the housewives play "What If...," reflecting on their life choices, and on how other choices might have led to different lives. For Susan it's a life with Karl, and for Bree it's one without Orson; and Lynette thinks about a future with her unborn twins. Meanwhile, Carlos imagines Gaby as an overprotective mom; and Angie ponders what could happen if her secrets were revealed.

Katherine is seeing a psychiatrist, but Lynette won't see a couples' therapist. Meanwhile, Gaby and Susan are determined to find out if their kids are in the smartest group at school; and Angie disapproves of Danny's new girlfriend.