While casually discussing improvements around the house, Kourtney drops a bombshell on Scott when she reveals she's thinking of having several more kids after their baby girl is born! Scared that he'll be trapped by her master plan, Scott sees a doctor about the risks and benefits of getting a vasectomy--and walks away from the visit with a lot to consider. Meanwhile, Kris gets her breast implants redone, and Kim and Khloe make an appointment with a fertility specialist where Khloe receives unsettling news.