The ladies' mission to have a peaceful trip proves to be impossible when their drama follows them to Blue Ridge. Tempers flare once Quad learns that Simone secretly invited Mariah along. Mariah decides to embrace the outdoors and leaves her mark on the wilderness. Later an intense relationship exercise stirs up emotions for many of the couples, leaving Jackie in tears and bringing Quad and Greg's marital issues to a head.

Determined to show that she’s more than a housewife, Toya follows through with her plan to market her husband’s business. With her eyes set on bigger and better things, Quad has her first pop-up shop to bring Picture Perfect Pup front and center. Meanwhile, Toya reveals a rumor she heard which leaves Simone in tears. 

As Toya looks for locations for her husband’s medical concierge business, she is at odds with him on where to break ground. Meanwhile, Dr. Heavenly’s daughter interns for Lisa Nicole and designs a dress for her mother’s upcoming app release party. At Dr. Jackie’s fitness event, staying in shape is far from everyone’s mind when Lisa Nicole accuses Quad of publicly questioning her husband’s sexuality.  

After months of hard work, Dr. Heavenly is finally ready to launch her dating app, Piq. During her release party, everyone in town stops by, including Atlanta socialite Claudia Jordan. However, Dr. Heavenly’s husband doesn’t love the fact that her new venture will keep his wife busier than ever. Meanwhile, Jill throws a wild Prohibition Party but things get out of control when her husband is accused of disrespecting Dr. Heavenly, and Mariah decides to show up fashionably late to reclaim her seat at the throne. With all the drama surrounding the group, Dr. Simone decides a couples’ trip to the Bahamas will be the best way to put the fractured crew back together.

With the upcoming trip to the Bahamas on the horizon, the ladies have a number of things to settle at home before departing for an island in the sun. The trip starts out on a festive note as the couples are met at the hotel by a band but by dinner, Mariah just can't let go of the past, and Jill and Dr. Heavenly go head to head for round two of their disagreement. 

Although the trip was intended to bring relaxation and reconciliation, the voyage is off to a rocky start with all the ladies reflecting about their relationships with one another. Meanwhile, Dr. Simone tries to get everyone back on track and arranges a medical mission for the less fortunate in order to regroup and focus their attention on helping others.

Couples therapy turns into group therapy as unresolved issues arise between Mariah and some of the ladies. Back in Atlanta, Quad hosts the “Heroes in Healthcare” event bringing most of the women together, however, with tensions still running high from the Bahamas, Dr. Heavenly decides not to attend. At the event, Toya and Mariah exchange words, revealing the real reason why Mariah still holds a grudge against Toya and leading the group to question once and for all whether Mariah belongs in this circle of friends.

The two-part Married to Medicine reunion kicks off with Simone and Toya as they look back at their confrontation from Season 2 and reveal some deep-rooted issues about their childhood. As Quad and Lisa go toe-to-toe over their accusations and legal matters, Heavenly continues to push the women to confess who was to blame over this year's drama. Given light of Jill's recent accusations and arrest, the ladies question whether they treated her fairly. And, bringing her usual spiciness, the Queen Bee Mariah re-enters the Hive for one last showdown. [Part 1 of 2]

Part two of the Married to Medicine reunion sets off the alarm when Mariah quickly realizes she’s the one in the hot seat. It's not all about the ladies this time though as the husbands join the mix and add fuel to the fire. Relationships are put to the test when the conversation turns to Toya and Eugene's inability to communicate. While Lisa's issue with strippers is discussed, it's revealed that Darren isn’t the only husband who likes to indulge in the stripper pond. Plus, the quest begins to see if these ladies can come together again, meanwhile Quad defends her throne to stay in the group. [Part 2 of 2]

This special looks back at lost footage and never-before-seen cast interviews from Season 3.

Heavenly and Lisa Nicole embark on a new business venture, but their collaboration quickly turns ugly, when Heavenly shares her true feelings about Lisa Nicole’s marriage. Simone is back at work after her emotional trip to Nashville with a transgender patient who wants gender reassignment surgery. Meanwhile, Jackie's topless charity photo shoot gets out of control causing her to expose a very different side of her personality. 

It’s day two of their Hawaiian adventure! Jackie is still reeling from her solo trip to the Big Island and Dr. Darren is still nowhere to be found leaving Lisa Nicole all alone. The group bares it all, in couples therapy, but the exchange between Lisa and Heavenly is anything but therapeutic! A traditional Hawaiian luau may be what the group needs to dance away their troubles, when Toya tries to rally around Lisa and her marital woes.

Host Andy Cohen reflects on some of the seasons biggest moments as the ladies of medicine come together in part one of the explosive Married to Medicine Reunion. Toya comes face to face with her tax problems; Lisa Nicole standing up against the blitz of confrontations from the other ladies about her marriage and underhanded business decisions; Mariah dishes her grievances with Heavenly, telling her what she really thinks of her, leading to a dramatic confrontation. [Part 1 of 2]

The reunion continues as Andy welcomes the husbands to tell their side of the story. Jackie shocks everyone, dropping a bomb about her relationship with Curtis; Darren confronts the women on the vicious rumors he can't escape, but Lisa ends up being his sharpest critic; Simone relives her darkest moments from the heart wrenching search for her father. After hashing out old and new issues, will the ladies be able to come together as a group again? [Part 2 of 2]

Host Andy Cohen reflects on some of the seasons biggest moments as the ladies of medicine come together in part one of the explosive three-part Married to Medicine Reunion. Toya is put on the hot seat about her sex life; Contessa defends her nanny against an onslaught of attacks; Mariah dishes her grievances with Heavenly, telling her what she really thinks of her, leading to a dramatic confrontation; Simone reveals shocking new information about her marriage. [Part 1 of 3]

The reunion concludes in part three, as the group deals with the fallout from Greg's scandalous revelation. Seeing another marriage falling apart, the group rallies around Simone and Cecil, imploring them to work it out. Will their pleas be heard or will they fall on deaf ears? [Part 3 of 3]

Quad’s marriage problems are plastered all over social media and the blogs, and instead of leaning on the ladies for support, she gives them the cold shoulder. Toya tries to encourage Eugene to live a healthy lifestyle, Contessa struggles with being a stay at home Mom. Simone throws a leather and lace party to reclaim her sexy, but tensions flare between Heavenly and Mariah when Mariah claims to have receipts on "Daddy."

After Mariah accuses Damon of infidelity, Heavenly channels her rage by seeking help from an anger management therapist. Contessa worries about her father's failing health, and tells Scott she wants him to visit. Isolated from the entire group, Quad hangs with her new besties from her talk show and vents about her marital woes. Simone and Cecil continue to struggle to fix their broken marriage, while Toya throws a surprise party for Eugene, but ends up making the party all about an absentee Contessa.

When her ailing father visits, Contessa discovers his health is even worse than she thought. While Mariah has a real talk with Lauren about growing up and getting ready for high school, Simone faces a hard talk with her son, Michael about the current state of her marriage. Heavenly attempts to bring Quad back into the circle of friends for a crab boil, but everything comes to a boiling point with the women as friendships and loyalties are questioned.

Things continue to heat up at the crab boil when Heavenly and Mariah’s long-standing feud reaches a fever pitch. Quad opens up to the group, but will her words be enough? Contessa has a candid conversation with her father about a life-altering decision. Meanwhile, Dr. K encourages Heavenly to dig further into her past. Later, Jackie’s plan to reconnect her friends forces them to get up and get moving, with surprising results. 

Quad has a heart-to-heart with Jackie over her marital issues while the guys have a much-needed night to themselves where Greg tells his side of the story. Contessa takes the first step towards a new life. With Simone and Jackie in tow, Heavenly travels to her childhood home in Miami to seek out the root of her anger.

Heavenly continues her spiritual journey in Miami with the aid of Jackie and Simone. Back in Atlanta, Contessa goes through with her double mastectomy. Quad turns to old friends for comfort in her crumbling marriage. Toya and Eugene are in awe of the progress of their dream home. Mariah and Aydin take Lauren out for a dinner to explain the birds and the bees.

Heavenly, Jackie, and Simone settle back into daily life after their trip to Miami. Simone welcomes her son home from college but isn't so welcoming to the idea of Cecil moving back in. Contessa is recuperating from her prophylactic mastectomy and receives a house call from her good friends, Mariah and Dr. Jarret. Quad lunches with her mom and aunt and reveals that her life has been turned upside down. Jarret invites all the ladies to her newly constructed home for a housewarming party and Quad debates revealing her big news to the ladies.

While Mariah receives some bad news from her husband, Simone finally has some good news to share about Cecil. Heavenly reflects on her Miami trip with her therapist and makes some new personal discoveries. While Quad is quietly adjusting to her newly single life, the other women are shocked to find out through social media of Quad's divorce. In an attempt to reunite the women and bring Black Girl Magic back to the group, Jackie throws a slumber party.

Toya and Eugene contemplate celebrating their 10-year anniversary with their friends overseas. Meanwhile Jackie and Curtis celebrate, coming back from the brink of divorce and making it 17-years. Mariah plans a Black Love party but when some of the invitees fail to show, they put a damper on the festivities.