It's been a life-changing year for the Little Family and it culminates in a beautiful exchange of vows in front of Terra's and Joe's best friends and family in Joe's hometown of Chicago.

As new parents, Penny and Joe struggle to keep it together as Penny's first surgery approaches. A family trip to pumpkin patch provides a welcome distraction, but fear sets in again on the night before surgery.

It's the day of Penny's spinal decompression surgery and Terra and Joe are on edge as they head to the hospital. Some of the best doctors in the world will be performing the surgery, but there are problems that might stop the surgery before it even begins.