 Carlos and Gabrielle decide to adopt, but the process comes to be a lot more difficult than either had expected when they find out they have to be perfect roll models. But things get even worse when they find out that John Rowland s vindictive mother, Helen, is an employee of the agency. Susan checks herself into the hospital for her surgery, but she makes the mistake of confiding in a nurse about her infatuation with Dr. Ron. Meanwhile, a showdown between Bree and Andrew leads to a full out war between mother and son when the twisted Andrew plots to become legally emaciated from his mother so he can set eyes on his trust fund, and he resorts to having his boyfriend, James, beat him up and then hires a lawyer to claim that Bree attacked him. Also, the dying Noah Taylor attempts to have Paul Young killed, but when the attempt is unsuccessful, Zach persuades Mike to let him meet his biological grandfather. Also, Tom is having more difficulty at his job when he begins to resent having to take orders Lynette which stings his ego of superiority.