
We pick up after the holidays, returning to the fallout from the near-brawl at the dude ranch. The episode opens with Dr. Jackie confronting Heavenly over her coarse comments about Contessaโs late motherโa moment thatโs left tensions running high.
Toya takes on the role of peacemaker, reasoning with Contessa about Heavenlyโs approach to relationships. Meanwhile, Quad doesnโt hold back, chastising Heavenly for the โmamaโ comment and bringing up the Napa trip from last season, which still weighs heavily on her. While Quadโs flair for the dramatic is well-known, her visible hurt makes it hard to dismiss her feelings.
Phaedra, true to form, remains detached, showing little sympathy or empathy for Quadโs pain. But as the night winds down, itโs Jackie who steps in, leading the group in prayer in an attempt to restore some semblance of sisterhood.
The following day, Contessa and Phaedra sit down to debrief the previous nightโs chaos. Contessa is adamant that sheโs not to blame for pushing Dr. Jackieโthough, thankfully, the playback suggests otherwise. To cool off, the ladies spend the day apart.
Dr. Jackie spends her time with Heavenly and Quad, milking her injuries from her fall. Jackie also revealed sheโs chairing the second annual Med Gala. In a surprising moment of reflection, Heavenly acknowledges her โmamaโ comment from the night before. However, itโs hard to tell if her accountability is genuine or merely performativeโafter all, knowing Heavenlyโs penchant for old habits, the โmamaโ comment feels destined to make a comeback.
Meanwhile, Contessa reflects on the tripโs original purpose, feeling like the mission to restore bonds was an epic fail. Phaedra, ever the optimist, reassures her that this group is like family, and even through the mess, sisterhood is still within reach.
The guys take a break from the drama with an afternoon of ATV riding and much-needed bro talk. Scott, Cecil, and Dr. Gregory open up about work and relationships, though Scottโs rare appearance this season raises an interesting question: while Heavenly has been loud about Contessa and Scottโs marriage, why does it feel like Contessa is the only one fighting this battle?
Over cigars, Dr. Damon and Dr. Eugene revisit the tension at their last group dinner. Eugene, ever the voice of reason, offers some emotionally intelligent insights into Dr. Gregoryโs perspective. Meanwhile, Cecil and Scott attempt to coax Dr. Gregory into opening up, hoping someone will take the first step toward restoring peace among the men.
Back at the ranch, dinner kicks off with Phaedra and Contessa taking the lead to apologize for the previous nightโs drama. The women begin airing their thoughts, with Dr. Simone admitting she felt uncomfortable and confused about how things spiraled. Contessa, however, interrupts to hold the group accountable, challenging them to stop glossing over Heavenlyโs words. โIโm so sick of these ladies letting Heavenly off the hookโIโm over it,โ she says in her confessional.
While most of the group agrees to work toward resolving their issues back in Atlanta, the two central players, Heavenly and Contessa, are less optimistic. Both argue that forcing reconciliation is pointless and that things should unfold organicallyโif at all.
Sweet Tea tries to wade into the conversation, attempting to hold Heavenly accountable, but itโs a complete flop. In their confessionals, the consensus is clear: sis, this wasnโt your moment. Read the room.
The trip ends with one last prayer circle before the ladies make their way back to Atlanta. Honestly? Thank God.







Back in Atlanta, Toya enlists her boys to wash her car, while Dr. Heavenly puts her son to work shadowing her at the dental practiceโwhere actress and personality TS Madison makes an appearance. Phaedra is busy juggling her funeral business, and Quad spends some quality time with her man, King. Meanwhile, Contessa debriefs the ranch trip with Scott, admitting his avoidant personality played a role in the ongoing tension.
Dr. Jackie is deep into planning the Med Gala and ropes Phaedra in to co-chair. Phaedra, ever confident, declares, โIf I canโt do nothing else, I can raise money.โ While Phaedra is no stranger to throwing extravagant events, it remains to be seen if sheโll live up to her promise for the Med Gala. A sneak peek into next week hints that she might not deliver after all.
Watch Married to Medicine on Sundays on Bravo, and catch up with our reviews each week here.