Carlos and Gabrielle decide to adopt, but quickly come to the conclusion that it will be more difficult than either had expected. Susan finally has her surgery since got her much needed medical insurance. It turns out that Tom is having more diffculty at the job because he must now take orders from his boss and his wife, Lynette. Bree and Andrew end up in a full out war over hear drinking. Noah Taylor, who is dying, finally learns more about Paul Young and his biological grandson Zach.