It's Thanksgiving on the Roloff Farms and Matt is eager to show off the farm to the nearly 30 family members who have come, many of whom have never seen it. A family photo session runs long, causing turkey trouble in the kitchen.

Any and the rest of the family arrive at the Little People of America conference. Zach has a consultation there with an orthopedic surgeon, who recommends surgery soon to help his increasingly painful leg problems.