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.
Juliet kills a fellow Other, Danny Pickett, to save Sawyer and Kate on the beach. She then strikes a deal with Ben: she will finish his surgery and save his life only if he finally allows her to leave the island and go home. Fan Perspectives Lost - Not in Portla...
“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 The title comes from a key moment in Juliet’s past