The whole family, including Grandpa Ron and Grandma Peg, are in Oakland for Zach's leg surgery. Zach faces the operation with courage, but no one can prepare him for the pain he feels after the surgery.

Matt decides to tackle the biggest problem in the Roloff house, his children's messy bedrooms. When a dumpster arrives in the driveway, Matt instructs the kids to empty their rooms into it. A lackluster response leaves Matt wondering how to inspire them.