The Others threaten to kill Sawyer if Jack doesn't operate on Ben, so he does. But during the middle of the procedure, Jack makes a small incision in Ben's kidney. Ben will die within an hour if Jack doesn't sew it up. In exchange for sparing Ben, Jack demands that the Others release Kate and Sawyer.
Earlier, Kate and Sawyer make love.
Back on the main island, Locke, Sayid and the rest bury Mr. Eko.
In flashbacks, we learn that Kate married a police officer but never told him her real name or that she was a fugitive. She becomes worried her secret will ruin their marriage and his life, so she leaves him.
Clues, observations, speculation:
* Jack doesn't realize he, Kate and Sawyer are being kept on a different island, so there is no real escape. What will Kate and Sawyer do if released by the Others? Will they demand a boat, or do they view escape as futile?
* When Ben promises to get Jack off the island, which island does Ben mean? He could honor this agreement simply but letting Jack off the Others' island and putting him back with the plane crash survivors, since Jack doesn't realize there are two islands in the mix.
* Even if Jack repairs Ben's kidney, chances for a successful outcome to the tumor surgery look bleak. Will Ben survive?
* Who speaks to Jack over the intercom? Was it Juliet? Did she want him to escape. Or was it all a ruse so he'd see Kate and Sawyer in one another's arms over the television monitor and become jealous?
* Will Jack cooperate with Juliet, who supposedly wants Ben dead? Doe he trust her at all? Should he?
* What's up with Alex, the French woman's daughter? Has she been removed from the Others' settlement? She makes reference to them killing her boyfriend. Who was he and why was he killed? Was he "Karl," the Other who escaped from the cages shortly after Sawyer was placed there?
* Ben asks Julliet if Alex mentioned him. Earlier, Alex asks Juliet about Ben. Did Ben play a role in the death of Alex's boyfriend? Is he Alex's father?
* Locke finds special significance in the phrase on Eko's prayer stick: "Lift up your eyes and look north. John 3:03." Why?
* The phrase "Cielo Agua Y Tierra" appears on the back of new-to-us survivor Paolo's shirt. These Spanish words mean "sky, water, land."
* Kate tells Jack the Others are building "something big" at the work site where she and Sawyer slave away moving rocks. What is it?'
* The Other, Pickett, makes a comment that Jack "isn't even on Jacob's list." We know the Others were keeping lists of "good people" among the plane crash survivors. But who is Jacob, and how does one make the list? What's it for?
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