Jazz gets her testosterone blocker replaced, but complications arise that could have disastrous effects on her transition; Jeanette and Jazz go apply for Jazz's driver's permit, and try to have her gender changed to female.

Jazz goes on a radio show but is met with one hateful call after another. Later, Jazz learns shocking details about transitioning at a transgender support group; and the family plans a surprise party for Jeanette's 50th birthday.

Jazz starts exploring breast surgery, but Greg and Jeanette disagree on how to proceed; Sander and Griffen get frustrated as Jeanette pays more attention to Jazz; Jazz doesn't tell her parents about flirtatious texts from a boy.