Coconut
performed by Harry Nilsson

Sarah celebrates a milestone birthday and leans on Mr.Cyr for emotional support , while Amber makes an independent move from her family. Unemployed, Adam feels the stress of providing for his pregnant wife and family and ponders a new business venture with Crosby. Julia becomes frustrated with the adoption process and dreams up a bizarre scenario. Meanwhile Haddie's boyfriend Alex reveals hidden information to Julia.

A fitness guru known for her "natural" lifestyle collapses while shooting an infomercial. Meanwhile, Thirteen participates in a clinical drug trial for Huntington's Disease led by Foreman; Kutner operates an online medical-advice clinic under House's name; and Cuddy moves into House's office while hers is being repaired, much to House's dismay.

When Sun is mysteriously attacked, tension builds between Jack, Locke, Kate, and Ana Lucia regarding the guns. It is revealed that Sawyer and Charlie had conned them all as a means for Sawyer to gain control of the guns and Charlie to get revenge on Locke. In flashbacks, Sawyer reluctantly cons a woman he develops feelings for.