This entry in the "Real Housewives" franchise sticks to the tried-and-true formula that has made other incarnations a staple on the Bravo schedule. The women featured on the series are at the center of the Miami housewife universe, though not all are actually wives at the time of the show's filming. Among the women are Adriana De Moura, known as the Brazilian bombshell of Miami's art scene, and Texas native Lea Black, a committed philanthropist who is married to one of America's top criminal defense attorneys.

Chaos continues at Nicole's mamacita lunch as Lisa unleashes her rage on the women for questioning her parenting. Alexia and Marysol come face to face with Ana and blame Nicole for setting them up. Guerdy undergoes surgery for cancer removal.