Lynette feels her mother (guest star Polly Bergen as Stella) is marrying Frank (guest star Larry Hagman), an abrasive and obnoxious man, for all the wrong reasons, and thus tries to talk her out of it. Meanwhile, Carlos becomes concerned when he learns about Gabrielle's obsession with her doll, and Bob and Lee hire a non-maternal Renee to decorate their newly adopted girl's bedroom. Bree runs into Keith's ex-girlfriend (guest star Rochelle Aytes as Amber) and learns some shocking news about his past, and Susan tries to befriend a curmudgeonly man (guest star Gregory Itzin as Dick) who has given up on ever finding a kidney donor. In the meantime, Paul appears to have some plans for Beth (guest star Emily Bergl), as he books a trip for the two of them to a remote cabin in the woods.

While in therapy, Gabrielle learns the truth about her past; Keith becomes suspicious about Bree's secret; Lynette's mother tells a lie to a coroner about Frank's death; Mike confronts Zach about Paul's shooting; someone makes arrangements to give Susan a new kidney.