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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.

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.

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.

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.

In the season premiere, the Johnstons celebrate Jonah and Liz's birthdays with a big bash, where they meet Liz's "friend" James, but it's also Liz's last hurrah before she has leg surgery.

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.

After yoga fails to inspire the family to get active, Amber and Trent get bikes for everyone, but Emma and Alex struggle without training wheels; Trent and Amber surprise the family with matching tattoos, but Jonah's not feeling them.

Amber signs the family up for a charity bike ride; Liz takes her first steps out of her wheelchair, but pushes herself too far in trying to ride her new bike; Alex and Emma head to the orthodontist for braces.

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.

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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 throw a Halloween party, but struggle to agree on a costume theme for all seven of them; a trip to a haunted house winds up being more frightening than some of the kids bargained for; stress takes a toll on Trent’s health.

The Johnstons go big for Christmas with a giant tree and an even bigger party for hundreds of little people; they work to pull everything together in time, before it all comes toppling down.

The Johnstons hit the Big Apple for vacation, seeing the sights and making a special trip to Coney Island to learn the history of sideshows; the family has strong feelings about the history and are shocked when they are invited to see a performance.

Liz is feeling great after the end of her relationship last year; she's exercising, painting and has even signed up to race in a 5K with Emma and Anna; she also has a new love interest but is concerned about Trent and Amber's feelings.

Lisa Vanderpump gives Dorit an ultimatum that could end their friendship forever; unresolved tension between Kyle and Dorit comes to a head at Teddi's dinner party; Denise gets her first taste of Camille's insincere ways.

Family therapy reveals that Emma has been relying on her parents and siblings to speak for her; the Johnstons vow that they will no longer come to Emma's rescue, so it's sink or swim when she has to give a speech in front of a huge crowd.

Liz is excited for her junior prom, but her crush may not ask her to go. Meanwhile, Trent and Amber test the waters on their own business with a booth at the local festival.

It's prom season and Liz and Anna are ready to party, with dresses bought and dates lined up; Amber's turning the big 4-0 and the family devises a surprise trip to Hilton Head, S.C., to celebrate.