Jazz learns she needs surgery to avoid male puberty. Jeanette and Jazz decide to confront an anti-trans group that has been targeting the family, resulting in a heated public encounter. The family receives a threatening phone call.
After receiving another threatening phone call, Greg and Jeanette take action. Meanwhile, Jazz makes a startling revelation with her therapist.
To prevent Jazz from developing as a man, the Jennings head to California to replace her expired hormone blocker; Jazz's grandmother confronts some old friends about their feelings on Jazz's transition.
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.
For the first time, a boy shows a romantic interest in Jazz, causing her and her parents to wonder how she will deal with dating and sex as a transgender woman.
While Jazz goes on her first real date with a boy, the family wonders whether it could grow into something more serious; the harassing caller is identified, but Greg and Jeanette disagree on what action to take.