She and Tom attend Peter's funeral, where Steve delivers a eulogy. Some time later, Joan has undergone surgery to reconstruct her breasts using abdominal muscle tissue. They discuss their shared experiences around love and loss. As Peter visits Joan, Tom meets Steve, Peter's husband, in the hospital cafeteria. Tom waits outside by the bench, but does not see the smoking man again. Joan undergoes the mastectomy and more sessions of chemotherapy.
Tom promises to still love Joan even if she does not have breasts. After enjoying a fancy dinner, they have sex. Joan and Tom decide to have a romantic evening at a hotel before Joan's mastectomy.
A terminal cancer patient himself, the man reassures Tom that the doctors can save Joan. Tom meets a man smoking on a bench outside the chemotherapy clinic. Feeling hot and silly, Joan takes her wig off. Donning a wig, Joan meets with Peter at a café where they discuss their mortality. Joan forgets which medication she is supposed to take on what day, leading to a vicious argument with Tom about how cancer is destroying their marriage. Tom cuts her hair short and then shaves her head with a razor. Soon after, Joan's hair begins to fall out in clumps. Joan's name is called, and she undergoes her first treatment of chemotherapy. The two chat, and Peter reveals he has terminal cancer. While waiting for her chemotherapy appointment, Joan sees Debbie's primary school teacher, Peter, waiting in the lobby. This leads to a disagreement between Joan and Tom about the nature of being "cancer-free." Tom sees that his fish has died and cries as he flushes it down the toilet. They refer Joan to an oncologist to start chemotherapy. Joan's surgery goes well, and the doctors are able to remove all physical signs of cancer. He confesses to Debbie that he is scared of being left alone without his wife. On the day of Joan's surgery, Tom visits the grave of their daughter, Debbie, alone. Joan's doctor arranges for surgery to excise the mass and surrounding lymph nodes. She and Tom head to the hospital, where she is diagnosed with breast cancer. One evening while showering, Joan finds a mass on her breast. They exercise by going on a long walk through town, turning back when they reach a newly planted sapling. Tom owns a pet fish that Joan does not care for. There is an ease to their relationship, and a deep love which manifests itself through tenderness and humor in equal measure. Joan and Tom Thompson have been married for many years they keep their house in order and go about their routine lives.
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