Matt and Amy's Little Person friend Rob Haines prepares to undergo a risky surgery to correct a dwarfism-related spinal issue. Once Rob is out of the operating room, Matt visits him as he recovers in California.

Matt embarks on an ambitious remodel of the Roloff house that soon proves well beyond his abilities to manage. With an architect and a general contractor already on the payroll, Amy wonders how they'll be able to pay for it all.