After enduring an emotionally and physically draining fertility process, Giuliana and Bill must decide whether to pursue the next steps in an effort to expand their family. Whether through in-vitro fertilization, surrogacy or adoption, the Rancics are faced with difficult decisions as they pursue their dream of raising a child together. Plus, after splitting their time between Los Angeles and Chicago, the couple will finally decide once and for all where they will settle down. Tag along as the two tackle an ambitious remodeling project on their new home, embark on a spontaneous road trip in an attempt to reconnect, and pull off a surprise anniversary gift for Giuliana's parents. Also, Giuliana helps her niece Olivia start a modeling career and the couple addresses Giuliana's challenges with body image and weight issues.