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Trent and Amber Johnston are in the middle of renovating their dream home from top to bottom while raising five children. As the family prepares for Anna and Elizabeth's first formal dance, they receive a shocking call from school.

Alex's routine MRI on his back turns serious when he stops breathing while under sedation, which terrifies Amber. Meanwhile, the family disagrees on whether or not they should adopt goats.

Amber heads to the beach with her adopted dad, Trent and the kids, but questions are raised about what her biological dad really thinks of her.

Trent plans a camping trip for the whole family at the end of summer before school starts, but Amber doesn't think it's a good idea to be outdoors in Georgia's August heat.

Alex's upcoming tonsillectomy makes the whole family nervous, especially after what happened during his recent MRI when he stopped breathing while under anesthesia.

In the season premiere, Alex undergoes an MRI to see if he needs brain surgery after being diagnosed with central apnea. Meanwhile, Jonah wants to get his driver's license; and Anna looks forward to her learner's permit

Trent vows to lose weight before he turns 40, but the process isn't as much fun as he'd hoped. Meanwhile, Amber plans a surprise party for Trent's birthday that he'll never forget.

Jonah's grades are slipping and Anna would rather do hair and makeup than go to college, so Amber and Trent arrange a college tour to motivate Jonah, and encourage Anna to find a job at a salon to learn the issues facing a little person in the workplace.

Elizabeth navigates uncharted territory when she enters a local beauty pageant. Meanwhile, Trent and Amber takes steps to finalize Emma's and Anna's adoptions.

A busy family week is interrupted when one of the Johnstons is rushed to the hospital in the middle of the night.

Amber is discharged from the hospital in time to help the family throw Anna's sweet-16 party for the ages.

The family needs a break, so the Johnstons take off for a tropical vacation in Puerto Rico. Meanwhile, Amber and Trent ponder adding another member to their brood.

Liz begins the tough road to recovery from her leg surgery; Amber tries to improve her real estate game with some help from Anna and Alex.

Trent teaches Anna how to drive to prepare for her license, but her behavior leaves Trent and Amber unsure of whether to trust her with the responsibility of driving; Trent and Amber shock the kids with a big announcement.

Trent sets up a family beehive while Liz deals with the social media fallout from her recent breakup.

Liz tries to get over her first heartbreak by putting on her own art show, but how will she feel if no one shows up?

As Jonah becomes the first Johnston kid to graduate high school, Trent and Amber confront him about his disrespectful attitude.

Emma is turning 13 years old and the family decides to celebrate with a day exploring her Chinese heritage.

The Johnstons take a family canoe trip and it's all fun and games until Trent is in danger of getting wet; Trent brings home a new kitten; the family suffers an unexpected tragedy.

Trent and Amber are celebrating their 20th anniversary by spending the night at a B&B and they leave Anna in charge; the family goes to a Bavarian-style village for a fun family weekend.

The Johnstons head to a Bavarian-style village in the mountains for a fun weekend; when they return home, they try to recreate the adventure with their own zipline.

Despite being given just two rules to abide at their annual Little People conference, Anna gets in trouble and faces severe consequences; once back home, Liz and Trent butt heads over driving lessons.

As a new school year begins, Jonah has an LP lady friend come visit to see if romance will bloom. Trent is feeling unsatisfied with his current job and wants to be his own boss. He and Amber discuss opening a refurbished furniture shop and look at commercial real estate options around town. When the kids hear of this bold move, they worry about the risk of failure and how it will affect their futures. Surprised by the kids' resistance, will Trent & Amber move forward with their plans for a family-run business?