So... Jack is kinda sick. And he needs a surgery, which Juliet would be happy to do. Except Jack wants to be awake to watch it and he wants Kate to be around as well. Showtime! Love triangle in a surgical tent! Instead of just knocking him unconscious and doing a goddamn surgery, Juliet does as he says. Big surprise - it doesn't work out and Jack ends up knocked out anyway. But this doesn't matter as the whole episode was already wasted on stupid useless crap.
Things are even more boring "back home" in Jack's flash-forward. Hurley is nuts and tells Jack that Charlie thinks that Jack should not be raising Aaron. What, the island should be? Polar bears? Presumably dead Claire? Also, Dead-Charlie-Who-I-Never-Liked-Anyway, could you please remember that Jack saved your ass somewhere around the beginning of season 1 and shut up already?
In other news - that red chick knows Korean, Kate is with Jack in the future and so is his dead father. Boring.