The ladies of medicine return, but there has been drama in the ATL since the reunion in New York. Heavenly and Quad mend fences, but will it be as easy with Simone? Tea faces her swimming fears while Phaedra and Dr. G discuss the social media bombshell dropped by Heavenly. Simone and Cecil throw a Freaknik inspired party where an uninvited guest crashes and an old friend makes a surprise appearance.

Quad throws herself a Paris-themed birthday party where she stuns the ladies by revealing a big secret. Simone continues to battle her issue with Quad, but a birthday invitation might be a step in the right direction. Dr. Jackie sees a celebrity patient. Dr.G and Sweet Tea wonder how Damon can take a back seat to Heavenly's bad behavior. Things get heated between the guys when Dr. G confronts Dr. Damon about Heavenly's behavior.

Quad gets a very special, and expensive, gift from her boyfriend, King. Toya has advice for Eugene's new business, whether he wants to hear it or not. Simone and Cecil deal with their boys. Heavenly teaches her son the ropes in her dental office. Pheadra deals with Apollo and his marital affairs. Tea, Contessa and Phaedra come up with a plan to fix the group. The ladies all head down to Florida for a "Cowboy Carter"-inspired ladies trip, but will it be the medicine they need?

The ladies enjoy a day out on the ranch. Heavenly and Tea have a saloon showdown that threatens to derail the first night. Quad tries to get Contessa and Heavenly to reconnect. Jackie tries to get to the bottom of Heavenly and Contessa's failed friendship. Toya corrals the ladies for a "Cowboy Carter" photoshoot, but her diva behavior rubs the ladies the wrong way.

The "Cowboy Carter" photoshoot continues, but tyrant Toya threatens the fun. Back in Atlanta, Cecil teaches the boys the way around the kitchen. Eugene makes cologne with his kids. Damon's kids bring him to tears. Back on the ranch, things finally erupt between Heavenly and Contessa as old grudges resurface and new accusations are made. The ladies are left wondering how they can continue.

After an explosive dinner, Contessa grapples with Heavenly's hurtful comments. Quad gets vulnerable with the group and finally mends things with Simone. Back home in Atlanta, Cecil brings Dr. G and Scott on a wild ride. Eugene tries to get Damon to see how Heavenly's hurtful tweets are going to make the group crash and burn. The next day the ladies wrap their heads and arms around how they will emotionally and physically recover from last night's fight. Jackie puts Phaedra on the hot seat about her lack of help with the Med Gala.

Heavenly throws Zachary a going-away party at their lake house. The ladies question Phadera's ability to raise money for the Med Gala. Phaedera gets defensive and has some choice words for the ladies. At the Med Gala, Dr.Damon tries to make peace with Dr.Greg. Dr. Contessa and Tea face Dr. Heavenly. Dr. Jackie is on pins and needles as she hopes the gala will meet the 100k.

Dr. Jackie is short of money for the Med Gala, so will Phaedra be able to write a check for the difference?

Phaedra takes the next step with her date from the Sweet and Savory event; Dr. Jackie, Dr. Heavenly and Dr. Simone travel to the White House to meet Former VP Kamala Harris for a historic conference on women's health.

The couples' trip to Key West, Fla., continues after a successful kayak relay race. A storm brews when Phaedra surprises the group with her new boy toy, Cheick, even though Dr. Heavenly has invited her ex, Apollo. Tensions rise between Quad and Dr. G as a playful evening couples' game turns into the battle of the exes, threatening to derail the whole trip.

After a rocky night, Toya and Eugene explore the Keys with Mimi and Steve; Apollo shows up to the Couples Trip with his wife, Sherrein, throwing Phaedra for a loop; what started as a peaceful trip to the Sandbar turns into chaos.

The argument at the Sandbar continues, forcing a couple to leave the trip; Phaedra also departs on a private jet, leaving the ladies shocked; the men try to make sense of the drama as the group spends their last night together.

After returning from their trip, Toya organizes a Bridgerton themed dance lesson to bring the group together but when people fail to show up, Dr. Contessa drops a bombshell, dividing the group in unexpected ways.

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.

Toya and Eugene's grand ball, Georgiaton, finally arrives but Sweet Tea, Dr. G, Quad and King are not thrilled by the idea of being in the same space.

The ladies reunite in New York for a showdown, but not everyone shows up. Phaedra's absence takes center stage. Simone and Quad's tension lingers. Sweet Tea and Quad's yelling match proves they still can't co-exist. New friction between Toya and Sweet Tea deepens the divide. Heavenly and Contessa remain at odds.

The reunion continues as Sweet Tea and Quad’s rivalry flares up once again. Heavenly and Sweet Tea consider a fresh start. When the men arrive, Greg and King are kept apart. Things turn tense as Damon and Greg go head-to-head over cheating rumors and social media drama. Simone and Quad’s fiery backstage clash threatens to end their friendship for good.

The reunion concludes as Greg and King finally face off; Simone and Quad attempt a fragile truce; Heavenly offers Contessa an olive branch, but can their friendships be saved?; Greg dodges accountability with Quad, pushing the group to the edge.