As the students meet with the school counselor to plan for the future, Nathan and Haley realize they want to attend different colleges across the country from one another and Brooke discovers Rachel's reasons for submitting her designs to Rogue Vogue. Meanwhile, Ellie and Peyton bond as they finish the benefit album.

Nathan gets two surprises in a row, and everyone is eager to share their advice with him. Deb also shares something she picked up. Brooke decides to celebrate while Peyton is being attacked by her stalker.

Lucas is crushed by devastating news. Quentin is pushed to his limits during a Ravens game. Dan's is second on the donor recipient list to get a new heart. Haley thinks about her decision to release a new album while Brooke's baby undergoes emergency surgery and a shocking truth stuns Peyton, told by Lucas.

In the sixth season premiere, Tree Hill residents must make a decision that will change their lives forever. Lucas finally pursues his dream with the woman he loves, Brooke must face a reunion with her mother, Mouth makes a revelation, Nathan and Haley must face a ghost from their past and the news of Dan's accident is slowly beginning to spread.