Jazz & Jeanette return home to the devastation left by Irma. In an effort to help, Jazz and her parents drive to The Keys to help in the clean up. Later, the family travels to San Francisco to meet with Dr. Bowers who has some shocking news for Jazz.

Learning she needs to lose 30 lbs to be eligible for bottom surgery, Jazz commits to losing weight. Jazz & Jeanette participate in a debate over controversial research that suggests children shouldn't be placed on hormone blockers before puberty.

Jazz and her family head to NYC for a vacation and surgical consultation. While the family enjoys the sights and rafting, Jazz fears she may need to undergo a painful procedure. Later, Jazz & Greg argue over whether Jazz is ready for bottom surgery.

Jazz explores dating girls & agrees to hang out with a potential female love interest. Jazz & Jeanette meet with Jazz's therapist for the therapy letter needed for Jazz's bottom surgery, but find the letter may not be as easy to obtain as they hoped.

The entire family supports Jazz's weight loss effort by having a family soccer match. Meanwhile, Jazz resumes hypnotherapy to control her binge eating. She also helps her friend raise money for hormones, and gathers the courage to ask out Victoria.

Jazz undergoes past life regression hypnosis for her weight issues and finds insight in a troubled past. She also pressures her parents to allow her to go to virtual school, and goes on her first date with a girl hoping for a romance.

Greg and Jazz attempt to surprise Jeanette with a wedding vow renewal ceremony; Jazz gets an unexpected gift on her 17th birthday; Dr. Volker makes a decision about Jazz's therapy letter; Dr. Bowers has one final ultimatum regarding Jazz's surgery.

Jazz prepares for a final weigh-in for her gender confirmation surgery. Meanwhile, Dr. Bowers shocks Greg and Jeanette with changes to the surgical plan. Jazz and her friends head out for a night of fun at prom, but it turns into a nightmare.

With Jazz's surgery 3 weeks away, Jeanette feels scared and unprepared. Sander's hurt that Griffen's spending more time with his girlfriend. Jazz, desperate for love, runs into her old flame. Later, Jazz gets a scary prediction about her surgery.

Jazz agrees to an interview for ABC's Nightline to discuss her upcoming surgery. Jeanette throws a farewell party for a certain part of Jazz's anatomy. Jack faces a health issue that might affect his ability to travel to NYC for Jazz's surgery.

The final stages are set for Jazz to undergo the most significant procedure of her entire life, gender confirmation surgery. Her doctors provide the final details of this highly experimental and potentially complicated operation.

Jazz's doctors perform her groundbreaking bottom surgery while her family anxiously awaits news. With the OK from her doctors Jazz is released to recover in a hotel. Just 4 days later Jazz suffers complications & is rushed back to the operating room.

Jazz is rushed into emergency surgery due to a major complication. While staying with Jazz for her recovery in New York, Jeannette learns Jack is fighting for his life in a health crisis of his own.

3 weeks after surgery, Jazz already has a boyfriend. The family is concerned that Jazz is rushing into things, but Jazz invites him to visit her. Jazz receives upsetting news about her recovery and is told she'll likely require another surgery.

Jazz's boyfriend Ahmir visits. While Jazz learns to kiss and falls for Ahmir more and more, her friends have major concerns. Dr. Bowers asks the Jennings to fly to NYC so Jazz can be examined ASAP. Jazz goes missing and her parents fear the worst.

Jazz's relationship is tested when she learns that Ahmir has a transphobic mother. Dr. Bowers comes to Florida to see if Jazz needs a more extensive surgery. Jazz wants to move out of her house, and tries to convince Ari they should be roommates.