11 year old Jazz (Now 14) and her family face a life-altering decision as the ebullient tween approaches puberty. Through extensive archival family footage and first-person interviews, Jazz and her family share their powerful personal story as they grapple with the possibility of hormone blocking therapy and issues related to fertility, discrimination and identity.
Jazz tells her parents she wants gender confirmation surgery before she finishes high school, but learns there may be obstacles along the way. Meanwhile, Jeanette struggles with the reality of the twins going off to college.
A bottom surgery consultation forces Jazz and her parents to process a troubling diagnosis. Meanwhile, Jazz confronts her friend Mya's brother, who's struggling to accept his sister's transition; and Jazz unwittingly finds herself on a date with a transgender boy.
Jazz goes to Pennsylvania to explore more options for her bottom surgery. Meanwhile, Jazz and Jeanette agree to participate in Grandpa Jack's presentation on transgender issues, but worry they may be confronted by hate like at last year's town hall.
Jazz's search for a doctor to perform her dream bottom surgery continues, but tensions flare with her mom over going to therapy to deal with her social anxieties. Meanwhile, the family plans big surprises for Jazz's upcoming sweet-16.
Jazz leaves her comfort zone and tries "Dating in the Dark," and hopes it's a good way to get to know someone before revealing she's transgender. Meanwhile, Jazz and her parents attend a pride parade and meet a survivor of the Orlando nightclub shooting in 2016.
Jazz helps a transgender pal who is bullied by her own mother. Meanwhile, Jeanette decides to attend a support group to discuss her concerns about Jazz's upcoming medical decisions; and Jazz hopes for a call from a boy she met at "Dating in the Dark."
Jazz goes on a date with a new romantic interest named Shane. Meanwhile, Jack and Jacky host a sleepover for Jazz; and Jazz mulls doing an interview with conservative commentator and transgender bathroom rights critic Tomi Lahren.
A final consultation for bottom surgery awaits Jazz and her family in San Francisco, and they hope this one gives them better news than the first three. Meanwhile, Jazz debates conservative commentator Tomi Lahren.
In the Season 4 premiere, a new Jazz emerges, eager to expand her social circle and explore dating, but Jazz is also hiding a dark secret from her family that may come out to haunt her. Later, Hurricane Irma makes landfall in Florida, threatening the safety of the Jennings family.
Jazz and Jeanette return home to the devastation left by Irma, and in an effort to help, Jazz and her parents drive to the Keys to help in the cleanup. Later, the family travels to San Francisco to meet with Dr. Bowers, who has some shocking news for Jazz.
Learning she needs to lose 30 pounds to be eligible for bottom surgery, Jazz commits to losing weight. Later, Jazz and Jeanette participate in a debate over controversial research that suggests children shouldn't be placed on hormone blockers before puberty.
Jazz and her family head to New York City for a vacation and surgical consultation, but while the Jennings enjoy the sights, Jazz fears she may need to undergo a painful procedure.
Jazz explores dating girls and agrees to hang out with a potential female love interest. Jeanette meets with Jazz's therapist for the therapy letter needed for Jazz's bottom surgery.
The entire family supports Jazz's weight loss effort by having a family soccer game; Jazz resumes hypnotherapy to control her binge eating, helps her friend raise money for hormones, and gathers the courage to ask out Victoria.
Jazz undergoes past life regression hypnosis for her weight issues and finds insight in a troubled past; Jazz pressures her parents about going to virtual school, and goes on her first date with a girl.
Greg and Jazz attempt to surprise Jeanette with a wedding vow renewal ceremony; Jazz gets an unexpected gift on her 17th birthday; Dr. Volker makes a decision about Jazz's therapy letter; Dr. Bowers has an ultimatum regarding Jazz's bottom surgery.
Jazz prepares for a final weigh-in for her gender confirmation surgery. Meanwhile, Dr. Bowers shocks Greg and Jeanette with changes to the surgical plan. Jazz and her friends head out for a night of fun at prom, but it turns into a nightmare.
With Jazz's surgery weeks away, Jeanette feels scared and unprepared; Sander's hurt that Griffen's spending more time with his girlfriend; Jazz desperate for love, runs into her old flame, Victoria; Jazz gets a scary prediction about her surgery.
Jazz agrees to an interview for ABS's "Nightline" to discuss her upcoming surgery; Jeanette throws a farewell party for a certain part of Jazz's anatomy; Jack faces a health issue that might affect his ability to travel to NYC for Jazz's surgery.
The final stages are set for Jazz to undergo the most significant procedure of her entire life, gender confirmation surgery; her doctors provide the final details of this highly experimental and potentially complicated operation.
Jazz's doctors perform her groundbreaking bottom surgery while her family anxiously awaits news; with the OK from her doctors, Jazz is released to recover in a hotel; days later, Jazz suffers complications and is rushed back into the operating room.
Jazz is rushed into emergency surgery due to a major complication. While staying with Jazz for her recovery in New York, Jeannette learns Jack is fighting for his life in a health crisis of his own.
Three weeks after surgery, Jazz already has a boyfriend; the family is concerned Jazz is rushing into things; but Jazz invites him to visit her in Florida.
Jazz's boyfriend, Ahmir, visits; while Jazz learns to kiss and falls for Ahmir more and more, her friends have major concerns; Dr. Bowers asks the Jennings to fly to NYC so Jazz can be examined ASAP; Jazz goes missing and her parents fear the worst.
Jazz's relationship is put to the test when she learns that Ahmir has a transphobic mother; Dr. Bowers comes to Florida to see if Jazz needs a more extensive surgery; Jazz wants to move out and tries to convince Ari they should be roommates.
Jazz and Jeanette travel to NYC for a follow up appointment with Dr. Ting. Ahmir has a harsh reaction to details of Jazz's bottom surgery. Jazz confronts Ahmir's transphobic mother, who in turn claims Ahmir is hiding something from Jazz.
Jazz reevaluates her relationship with Ahmir after returning home from NYC. Jeanette tries to convince Jazz to wait to move out of the house. Jazz and Jeannette's attempt to reassure parents of transgender kids about bottom surgery backfires.
Jazz turns 18 and starts making plans to move out of the house, much to Greg and Jeanette's dismay. Jazz also launches her own kids' day camp but worries her very first event will fail. The family plans a surprise outing to celebrate Jazz's birthday.
Jazz goes to New York for a third surgery to correct defects caused by complications during her gender confirmation surgery. While there, Jazz attends the premiere of a film she starred in. The Jennings family celebrate the twins' 21st birthday.
Jazz recovers from revision surgery, but a month later, she faces another complication; Jeanette worries about Jazz choosing Pomona over Harvard; After breaking up with Ahmir, Jazz tries to make it work with Victoria, and Sander comes along, too.
Jazz finds out that JoJo's grandmother will not support JoJo having top surgery; Jeanette celebrates her 53rd birthday with a consultation from a plastic surgeon.
Jazz heads to New York for a consultation on a possible 4th surgery; Jazz appears on What Would You Do? and faces trans deniers; A skeptical Jazz tours Harvard with her parents but is not convinced it's a better choice than Pomona College.
Jazz announces her college decision, setting her anxiety in motion. She struggles to plan a drag show fundraiser for Noelle's gender confirmation surgery. And during Jojo's breast consultation an explosive confrontation threatens to tear the family apart.
It's the week of the drag show! Jazz writes an original song, but her perfectionism causes her terrible anxiety. Jack finds out being a woman can be a real drag. Sander meets his inner Sandra. Greg and Jeanette take their first steps towards a new home.
Jazz faces the most intense pressure in her life as she cannot handle the reality of preparing her valedictorian speech for high school graduation; JoJo has a change of heart about top surgery and pursues bottom surgery; Jazz shops for a new Harvard look.
Jazz seeks emotional wellbeing at a spiritual retreat while Greg and Jeanette seek relief from their concern over Jazz's emotional wellbeing. Although still short $5K of her financial goal of $25K, Noelle moves forward with her gender affirmation surgery.
Jazz runs into an old flame, putting her social anxiety to the test.
As Jazz continues on her weight loss journey, she learns she isn't the only woman in her family who has struggled with eating issues. Sander is interested in dating a trans woman, and things get heated with Jazz and her siblings as they prepare dinner.
Jazz plans a rally for Black Trans Lives with Peppermint as the headliner. When Sander finds out his date hasn't had gender affirmation surgery, he finds himself questioning their potential for intimacy. Meanwhile, Jeanette cuts loose over cocktails.
Jazz's rally for Black Trans Lives is in jeopardy after her main speaker drops out. Sander goes on a second date with Hope and is surprised to learn about some of her dating criteria. Jazz confronts TS Madison about her comments on Jazz's mental health.
When Jazz struggles to get out of bed, her parents worry that she's not ready for Harvard... if she gets back in. Jeannette does a sexy photoshoot for her anniversary with Greg. Jazz opens up to her parents about her diet.
Unsure of Jazz's readmittance to Harvard, the Jennings take matters into their own hands. Greg hatches a plan to surprise Jeanette for their 28th wedding anniversary, but it's not exactly what she had in mind. Sander's career choice causes tension.
Jazz gets an answer from Harvard regarding her reacceptance. The Jennings head to DC and convince Jeanette to go zip-lining, plus, they visit the Smithsonian where Jazz is featured in an exhibit! Sander reunites with Hope and they have a heart-to-heart.
Jazz gets a boost from her surrogate big brother, Raymond, to help prepare for Harvard. Sander introduces Noah to his friends, and when the topic of dating a trans person comes up, things get heated. Dr. Gallagher has an interesting proposition for Jazz.
Jazz is going off to Harvard, but before she leaves, she gets to observe a surgical procedure. Jazz and Sander throw Neasa and Noah an engagement party. Jazz's family worries about the last time she was leaving for college and hope this will be different.