Jazz tells her parents she wants to have gender confirmation surgery before she completes high school, but learns there may be obstacles along the way; Jeanette struggles with the reality of the twins going off to college.

After a bottom surgery consultation, Jazz and her parents process the troubling diagnosis; Jazz confronts her friend Mya's brother, who struggles to accept Mya's transition; Jazz unwittingly finds herself on a date with a transgender boy.

Jazz and Jeanette agree to participate in Grandpa Jack's presentation on transgender issues, but worry they may be confronted by hate like at last year's town hall; Jazz and the family travel to Pennsylvania to explore more options for surgery.