The episode starts out with Conor, now at 20, having a discussion with a psycologist. Conor is finally at long last, having his re-constructive surgery on his right hand, in just two days. But before the surgery takes place, Conor wishes to tie up some loose ends of his past, which is why he is seeing a psychologist.

Conor decides to organize a family dinner so that everyone may meet the surgeon that will be performing his surgery, even though, he explains, the family is not close. Conor states that Julia and Sean have separated, Matt is almost never around, and Annie feels as if she was neglected as a child, and resents Julia.

Nevertheless, the family meets at a diner. Sean almost decides to leave once he sees that Julia is at the dinner, but is soon convinced by Christian (who is also attending the dinner, and who appears to still be the playboy he was 20 years ago), and Conor to stay. Soon after, Matt arrives. Conor reveals that Matt, now a surgeon like his fathers, will be the one performing the surgery.

Sean is disappointed that he was not asked to perform the surgery, but tries to hide his emotions.

Meanwhile, back in 2006, Sean and Julia's marriage is falling apart once again.