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.

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.

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.

Jazz prepares for a final weigh-in for her gender confirmation surgery; 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 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, Victoria; 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; days later, Jazz suffers complications and is rushed back into 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.

Three weeks after surgery, Jazz already has a boyfriend; the family is concerned Jazz is rushing into things; but Jazz invites him to visit her in Florida.

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 put to the test 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 and tries to convince Ari they should be roommates.

Jazz and Jeanette travel to NYC for a follow-up appointment with Dr. Ting; Ahmir has a harsh reaction to details of Jazz's bottom surgery; Jazz confronts Ahmir's transphobic mother, who in turn claims Ahmir is hiding something from Jazz.

Jazz reevaluates her relationship with Ahmir after returning home from NYC. Jeanette tries to convince Jazz to wait to move out of the house. Jazz and Jeannette’s attempt to reassure parents of transgender kids about bottom surgery backfires.

Jazz turns 18 and starts making plans to move out of the house, much to Greg and Jeanette’s dismay. Jazz also launches her own kids’ day camp but worries her very first event will fail. The family plans a surprise outing to celebrate Jazz’s birthday.

A new Jazz emerges, eager to expand her social circle and explore dating, but she is also hiding a secret from her family that may come out to haunt her; Hurricane Irma makes landfall in Florida, threatening the safety of the Jennings family.

Jazz and Jeanette return home to the devastation left by Hurricane Irma, and in an effort to help, Jazz and her parents drive to The Keys to help in the clean up; the family travels to San Francisco to meet with Dr. Bowers.

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

Jazz and her family head to New York City for a vacation and surgical consultation, but while the Jennings enjoy the sights, Jazz fears she may need to undergo a painful procedure.

Jazz explores dating girls and agrees to hang out with a potential female love interest. Jeanette meets with Jazz’s therapist for the therapy letter needed for Jazz’s bottom surgery.

The entire family supports Jazz's weight loss effort by having a family soccer game; Jazz resumes hypnotherapy to control her binge eating, 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; Jazz pressures her parents about going to virtual school, and goes on her first date with a girl.

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 an ultimatum regarding Jazz's bottom surgery.

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

A bottom surgery consultation forces Jazz and her parents to process a troubling diagnosis. Meanwhile, Jazz confronts her friend Mya's brother, who's struggling to accept his sister's transition; and Jazz unwittingly finds herself on a date with a transgender boy.

Jazz goes to Pennsylvania to explore more options for her bottom surgery. Meanwhile, 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.

While Jazz continues the search for a doctor to perform her dream bottom surgery, tensions flair as she battles with Jeanette over going to therapy to deal with her social anxieties. Meanwhile, the family plans huge surprises for Jazz's upcoming sweet 16.

Jazz leaves her comfort zone and tries "Dating in the Dark," and hopes it's a good way to get to know someone before revealing she's transgender. Meanwhile, Jazz and her parents attend a pride parade and meet a survivor of the Orlando nightclub shooting in 2016.

Jazz helps her transgender friend Lynn deal with bullying from her own mother; Jeanette struggles with the medical decisions Jazz is facing and decides to go to a support group; Jazz hopes for a call from the boy she met at Dating in the Dark.

Jazz goes on a date with new romantic love interest Shane; Jack and Jacky want Jazz all to themselves and host a sleepover; Jazz has to decide whether or not to sit for an interview with outspoken transgender bathroom rights critic Tomi Lahren.

After three bottom surgery consultations and no clear path forward, Jazz and the family head to San Francisco hoping a final consultation will give them good news; Jazz takes on conservative host and transgender bathroom rights critic Tomi Lahren.

Another threat over the phone forces Greg and Jeanette to take precautions for Jazz's safety. Meanwhile, a transgender girl gets help with her transition; and Jazz makes a shocking revelation to her therapist.

Jazz has an operation to replace her testosterone blocker, but there are complications that could impact her transition. Also: Jazz's mom takes her to the DMV to get her driver's permit and see if they can change her gender to female.

She's Too Young for Breast Surgery

For the first time ever, a boy shows a romantic interest in Jazz causing her and her parents to question how she will deal with dating and sex as a transgender woman. Meanwhile, the Jennings prepare for an intense physical test as they attend a mud run.

Jazz goes on her first real date with a boy, causing the family to wonder if it could be serious. Meanwhile, the Jennings' harasser is identified, but Greg and Jeanette can't decide what action to take.

Worried about keeping puberty at bay, Jazz and her mother visit the doctor to discuss her hormone test results.

Jazz's insecurities surface when a friend hosts a co-ed bowling night; Jazz's room receives a much-needed teenage makeover.

Jazz learns how hard high school will be for her when she attends a soccer conditioning clinic; Jazz sits down with her therapist to help deal with stress.

Jazz gets a glimpse into college life when the family helps Ari move out of her dorm; a friend questions whether being transgender is a choice.

Jazz struggles with the pressure of being a role model as her book signing approaches; Ari adjusts to living under the same roof as her family again.

The family arranges a special Mother's Day surprise for Jeanette; Jazz is worried that her siblings may think she gets favored.

Jazz wants to explore the dating scene; Jeanette and Jazz attend a support group for stories and guidance on transgender dating.

Ari's friend, Zach, has a personal revelation that shocks her and Jazz; Ari is getting back to her musical roots for the summer and encourages Jazz to join her for an open mic night.

Jazz comes across an online death threat; Jeanette re-examines if the family has acted in Jazz's best interest in the past few years.

Jazz invites a boy who is interested in her to her middle school graduation party; Jazz and her parents visit the doctor and are faced with a big decision.

Jazz and her family sit down to discuss early struggles in Jazz's transition; responding to critics; Jazz's role in the transgender movement and what lies ahead.