Janelle's house is all joy as Maddie has her baby shower. But Christine is devastated when Ysabel's X-rays show that her scoliosis is worsening and surgery is imminent. In desperation they turn to unproven alternative treatments.

Even as the Sister Wives bask in the glow of their first grandchild, tensions emerge. Meri found out that all the wives were at the birth, except her. Intense therapy sessions fail to resolve the hurt, so Christine confronts Meri with some brutal truths.