Susan vows to get the most out of life when she learns that her dialysis isn't working and that, unless she receives a kidney transplant soon, she will die. Bree makes it her mission to find a kidney donor for Susan and, jealous of Lee and Bob's adopted daughter's routine for an upcoming school talent show, Gabrielle pressures Juanita to come up with a number that will outshine everyone. Meanwhile, Lynette puts a plan into action to discourage a clearly non-maternal Renee from adopting a baby, and Beth Young (guest star Emily Bergl) struggles to figure out what to do with her life after Paul kicked her out of the house.
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Trivia
The final sequence of the episode is in homage to the first episode of the series in which Mary Alice killed herself. Being the show's 150th episode, this is a very appropriate move by the series' creators. The final moments of the sequence are shot to match the original visuals that surround Mary Alice's iconic death sequence. Considering the character who dies also happens to be Paul's wife, it is all the more interesting.
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