Tensions are high at a heated wine tasting when Mariah confronts Kari about Quad's disinvite to their joint party. Later when Kari and Quad agree to meet to sort out their problematic past, the road to resolution is anything but smooth. Meanwhile, Doctor Simone's sister brings out Simone's competitive nature during a visit and Doctor Jackie reveals a shocking secret that takes Quad by surprise.

This prestigious circle of doctor's wives is shattered after Mariah and Toya's showdown at Duncan and Aydin's birthday party. As news of the fight spreads across the medical community, loyalties are in question and friendships are flat-lining as the women deal with the shocking aftermath. Will Toya and Mariah's reputations be salvaged, or did their behavior cause irreversible consequences to themselves and their husbands?