Any progress made during Revival Weekend in Savannah comes to a screeching halt after Mariah's meltdown on the bus. Dr. Jackie reaches her breaking point when she realizes that there are some problems she just can't fix. Contessa ponders Jackie's advice to pursue couples' counseling for herself and Scott. Mariah brings the receipts and the drug test results to prove Quad wrong, but do the rest of the ladies even want to know the truth?

Still upset by Anila and Kiran’s Halloween costumes, Eugene confronts Kiran. Jackie and Simone plan a trip to Las Vegas in an attempt to bring the ladies together. Ms. Gomez’s absence forces Anila to resort to drastic measures. Contessa worries preparing for her bikini fitness competition could prove challenging in Vegas. The ladies look to let loose in Vegas and a game of Never Have I Ever sets the stage for some shocking revelations and a raucously good time.

Simone and Cecil ask for advice about their book from an old friend. Dr. Jackie gives a patient very important advice. Anila says her final goodbye to Ms. Gomez and wonders what is next for her. Contessa and Toya decide that enough is enough with Heavenly and stage an intervention on her shady ways. When things don’t go as planned, friendships are pushed to the limit.

The ladies of medicine are back! Dr. Jackie and Dr. Simone share quality time together. Toya reveals a surprising life change. Quad finds a new man in her life. Dr. Contessa puts her body to work. Dr. Heavenly tries to figure out where she went wrong with Contessa, who hasn’t spoken to her in months. Anila throws a housewarming party to show off her new $3 million dream home. Will her party derail when Heavenly and Contessa come face to face for the first time?

While Heavenly tries to keep Alaura close to home, Simone goes apartment shopping with her boys. Toya takes the ladies on a trip to Sonoma, California, but when Quad shows up, the ladies unite together to finally hold her accountable.

Host Andy Cohen reflects on some of the season's biggest moments as the ladies come together in part one of the three-part "Married to Medicine" reunion. The ladies hold Phaedra's feet to the fire and find out how she really feels. Heavenly and Sweet Tea face off. Jackie faces a shocking revelation. Quad's relationship with the women reaches a breaking point.

Quad continues to try to make amends, but is it too little too late? Sweet Tea makes accusations against Heavenly and Damon. Alicia joins the ladies and defends her husband. The men arrive on stage and Kema is asked to explain himself. A surprise guest shocks everyone.

The women continue their Vegas trip with a decadent dinner full of vintage wines, juicy conversation and some eye candy for dessert. Back in Atlanta, the men go boxing and old tensions between Kiran and Eugene resurface. A final brunch in Sin City turns into a second intervention attempt with Heavenly.

As the fun continues in Vegas, the ladies play a game where Toya reveals a secret she hopes doesn’t make it back to the ATL. Audra calls out Toya for questioning her skills as an attorney. The Vegas girls’ bonding trip is turned on its head yet again when the brewing dispute between Contessa and Heavenly rears its ugly head. Toya faces her greatest fears head on.

Simone and Cecil invite a new set of couples over to help with their book, but when Toya let's Audra know her wardrobe isn't enough, it threatens to spoil the dinner; eager to show off her new home, Quad throws a Christmas party for the ladies.

Simone and Cecil get some unexpected news on their book from Omarosa; Toya and Eugene take time to celebrate their son's birthday; Jackie does something at work she's never done before.

The trip to Blue Ridge continues; Toya makes strides in her relationship with Audra; Cecil loses a big bet; Anila and Toya come to an understanding, as Anila Passes the blame about rumors to Quad.

Dr. Heavenly and Dr. Jackie interrogate Phaedra's motives for inviting Quad to Sweet Tea's party. Dr. Simone and Cecil disagree on how to push Miles when it comes to his education. Dr. G and Sweet Tea are ready to say their "I do's," but after some truths are revealed, will everyone be invited to their special day?

After the first day of drama on the couples trip, the group is in need of some fun. The ladies head to the golf course while they leave the men to learn some cooking skills. The guys aren't thrilled about the role reversal, but are soon rewarded by a trip on a yacht. The couples are shocked by Kema's claims about Dr. Alicia and when she shares she lost track of $150,000, they're all lost for words.

Quad's rumor-filled holiday party ends when instead of decking the halls, Audra tries to deck Toya in the face; Contessa meets with a new kind of coach to prepare for her fitness competition.

Thinking she's having a fun girls' night out with Dr. Heavenly, Sweet Tea ends up spilling the tea about her relationship issues with Dr. G. Dr. Simone drops a truth bomb on her sons on a family night out. With the upcoming wedding, the fellas take Dr. G out for the bachelor party of a lifetime while the ladies give Sweet Tea an over-the-top bachelorette party that ends with an unexpected visitor.

Contessa reveals to Toya the reasons for her fractured friendship with Heavenly. Anila and Kiran receive some life-altering news. Heavenly opens a new business, partnering with the great beyond. Dr. Simone and Cecil start a new adventure together. Quad and Mason navigate their new life together. All the ladies come together for Heavenly’s grand opening for her new beauty supply store. Will everyone play nice or is someone’s weave about to be snatched?

In the aftermath of Heavenly’s intervention, she grapples with changing her ways. Contessa must decide whether to let go of one of her closest friendships. Anila tries to juggle work and her kids. A stunt by Anila and Kiran at the Halloween party goes awry, putting the husbands at odds with each other for the first time.

Quad shocks Anila when she spills the tea on what the ladies really think about her break-in; Contessa's day of reckoning arrives as she competes at her first fitness competition; Anila finally gets some good news.

Jackie's surprise open marriage discussion has some couples tongues tied, but other lean in; old tensions rise up as Heavenly and Contessa finally say what's on their mind; Toya confronts Quad about the cheating allegations.

Toya and Dr. Eugene give their sons a sex education talk they'll never forget. Dr. Jackie meets with her very pregnant patient, hip-hop legend DaBrat. Phaedra grows suspicious of Sweet Tea's motives for marrying Dr. G. Sweet Tea's wedding planning stress reaches a boiling point. Toya kicks off her new business with a wine tasting night for the ladies, but will they ever accept her as more than just a housewife?

The ladies receive a mysterious invitation from Phaedra. Will Dr. Simone come up with a plan to get the empty nest she's been dreaming of? Sweet Tea reveals an ongoing personal issue to Toya and Dr. Simone. A strange night in Phaedra's funeral home brings a familiar face back from the dead.

Damon hosts a medical mixer that Heavenly turns into a dating auction for Phaedra, but Phaedra's focus is on hosting a $70,000 birthday bash for her 13-year-old, Ayden. Simone announces that the couples' trip will be in Hilton Head, which hurts Jackie because that's where Curtis cheated on her. Heavenly calls out Simone on choosing Hilton Head. Jackie isn't sure if she'll go on the trip.

The group heads to Hilton Head for a much-needed vacation, but tensions arise when certain couples decide to stay behind. Sweet Tea shocks the ladies with a disrespectful outburst. The Golden Girls continue to clash as Heavenly and Simone battle over Jackie.

Dr. Contessa and Dr. Heavenly sit down and try to bury the past while Quad’s hot tub session with King turns chilly, leaving their future uncertain.