Business is booming and the women are living large, but a threat from one of their employees reminds them how violent Rio can be when pushed and threatens everything they've been working toward. Meanwhile, Beth and Ruby both enjoy the shifting dynamics in their respective marriages. Boomer carries out a malicious plot against Annie that puts her fight for custody in jeopardy.

Rio asks the women to complete a seemingly simple job so he can get the operation up and running, but Beth, Ruby, and Annie fear there may be more to the task than meets the eye. As the ladies' long simmering tensions with the gang leader boil over, Ruby learns that Sara has risen to the top of the transplant list.