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Changes is the third episode the fifth season and the 75th overall episode of This Is Us.

Short Summary

Kevin and Madison navigate their engagement as Kate and Toby take a big step in their adoption journey. Jack and Rebecca brace for puberty.

Full Summary


Main Cast

Guest Stars

  • Peter Onorati as Stanley Pearson
  • Annie Funke as Ellie
  • Keith Powell as Dr. Vance
  • Jennifer C. Holmes as Laurel Dubois
  • Tom Virtue as Dr. Grader
  • Vien Hong as Hai Lang
    • Kane Lieu as Young Hai
  • Gayla Johnson as Dr. Halma
  • Tony Winters as Dr. Wilton
  • Amie Farrell as Jogger Julia
  • Joaquin Obradors as Young Jack
  • Carter Sand as Stewart
  • Aria Walters as Tonya
  • Presley Alexander as Alex
  • Brandilyn Cheah as Linh


Song Performer Scene

Notes and Trivia

  • This episode scored 6.85 million viewers.


Episode Stills


See Also

A complete overview of this episode's crew can be found here.