After passing out at Van and Chyenne's aniversary, Reba discovers that she'll have to have surgery.
After collapsing at Van and Cheyenne's wedding vows renewal, Reba is rushed to the hospital. The family is panicked about her health, but she only wants to focus on helping Van and Cheyenne resolve their relationship troubles. Meanwhile, Barbra Jean tries to help Reba feel better, but only makes Reba's blood pressure continue to climb.
- This continues off from the previous episode "Two Weddings and A funeral".