The teenage "Other" Alex supplies Kate and Sawyer with a canoe to return to their island, but first she convinces them to help her rescue her boyfriend Karl from a room where he is being brainwashed by being forced to watch a video. Juliet kills Pickett, who is in pursuit of Kate and Sawyer. Jack finishes Ben's surgery. Flashbacks reveal that over three years prior to the crash, Juliet is a fertility doctor, and is able to make her sister fertile. Juliet is interviewed by Mittelos Bioscience.