Nate and Brenda have unprotected sex for the first time since losing the baby, but their lovemaking is cut short when they catch Maya watching them. Brenda declines her mother's offer to get her out of an internship at a free psychiatric clinic, only to find that the job is much more difficult than she imagined. Nate handles the funeral of a former high school buddy and is flooded by memories of his uncomplicated youth.
David and Keith continue pursuing both adoption and surrogacy in their quest to have a baby. To David's extreme discomfort, Keith suggests they ask Claire to supply them with eggs for the surrogate.
Ruth shows signs of cracking after months of being Georgeâ?-s main caregiver and George senses her resentment with increasing guilt. The couple experience temporary relief when George's daughter Maggie comes to visit, but it all quickly falls to pieces once Maggie prepares to leave.
Claire takes her photography in a new direction and is disappointed when her gallery owner prefers her old direction. Over dinner with a pair of Billy's art contemporaries she is titillated by stories of Billy's wild past. While Claire is inspired by these reminiscences, Billy is reminded how much he's changed.
Federico is concerned when his new love interest fails to return his calls. Fearing the worst, he gets her building manager to let him in to her apartment and is surprised by what he finds.
Six Feet Under focuses on the cathartic journey of the extended Fisher family, whose personal trials and tribulations are played out against the solemn backdrop of an independent funeral home in LA.
This past season, story elements established in the first four seasons reach a series of emotional climaxes, with Ruth overwhelmed by her mentally fragile husband George, Nate struggling to reaffirm his relationship with Brenda while raising his daughter Maya, David and Keith longing for children of their own, Claire trying to broaden her horizons, and Federico attempting to fill the void left by Vanessa. By season's end, each of the main characters will come to embrace the cycle of life - birth, death, and rebirth - in ways that are both unique and interconnected.