The group looks back on their progress and head to group therapy in a cheerful mood. Dr. Drew informs them that they'll be offering them continuing treatment with Jill, a very intense program. He tells them to think about it, asking for a decision at graduation. While group goes on, James has headed off for surgery, to remove the STD-caused cancerous growth on his throat. The patients are grateful for what they've learned in rehab, but trepidatious about returning to their old lives, and not sure if they want to make the incredible commitment that the program with Jill requires. Finally, graduation arrives.