Jazz goes to New York for a third surgery to correct defects caused by complications during her gender confirmation surgery. While there, Jazz attends the premiere of a film she starred in. The Jennings family celebrate the twins' 21st birthday.

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Jazz finds out that JoJo's grandmother will not support JoJo having top surgery; Jeanette celebrates her birthday with a consultation from a plastic surgeon; Jazz's feelings about Pomona College clash with her parents' desire for her to pick Harvard.

Jazz heads to New York for a consultation on a possible 4th surgery; Jazz appears on What Would You Do? and faces trans deniers; A skeptical Jazz tours Harvard with her parents but is not convinced it's a better choice than Pomona College.

Jazz announces her college choice, setting her anxiety in motion. She struggles to plan a drag show fundraiser for Noelle's gender confirmation surgery. During Jojo's breast consultation an explosive confrontation threatens to tear the family apart.

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Jazz seeks emotional wellbeing at a spiritual retreat while Greg and Jeanette seek relief from their concern over Jazz's emotional wellbeing. Although still short $5K of her financial goal of $25K, Noelle moves forward with her gender affirmation surgery.