While Jack Shepard is performing surgery on Ben Linus (the leader of the Others), he intentionally cuts Ben's kidney sac to hold him hostage, demanding that Kate and Sawyer be allowed to escape.
The title comes from a key moment in Juliet’s past. Before the island, Juliet was a fertility researcher in Miami who performed a miraculous, unauthorized procedure to help her sister, Rachel, get pregnant. Lost - Not in Portla...
Parallel to her past, the episode follows Juliet’s pivotal choice to betray her own people and help the survivors. While Jack Shepard is performing surgery on Ben
“Juliet’s backstory is where "Not in Portland" most excels. Elizabeth Mitchell especially wrenches the heart and gut in one of the powerhouse performances of Season 3.” IMDb Parallel to her past, the episode follows Juliet’s
“The flashback suffered from a lack of new info compared to others, but it is the strongest in terms of connecting to the action of the episode.” AV Club "Lost" Not in Portland (TV Episode 2007) - IMDb
A mysterious company called Mittelos Bioscience recruits her for a six-month project. When Juliet notes the facility is remote and her sister wouldn't have medical access in Portland, the recruiter famously replies, "Well actually, we’re not quite in Portland." .
In the Lost episode (Season 3, Episode 7), the "story" refers to both the high-stakes escape from Hydra Island and the poignant backstory of Juliet Burke , which explains how she ended up with the Others. Juliet’s Recruitment Backstory