Switched Before Birth follows Olivia Crawford (Skyler Samuels) and her husband Brian (Bo Yokely), who after multiple miscarriages, numerous failed IVF trials and stretching themselves to the limit financially, finally receive the joyous news that she’s pregnant with twins. While going through her latest round of IVF, Oliva meets and becomes fast friends with Anna Ramirez (Justina Machado), who is struggling to have a child after years of focusing on her successful restaurants. When Anna becomes pregnant as well, the ladies celebrate and begin to prepare for their babies.