The group heads to Hilton Head, S.C., for a vacation; tensions arise when certain couples decide to stay behind; Sweet Tea shocks the ladies with a disrespectful outburst; the Golden Girls continue to clash as Heavenly and Simone battle over Jackie.

The ladies plan their first Med Gala party to honor the medical community in Atlanta; tensions flare when Toya and Heavenly come to an impasse; Quad surprises the group with an unexpected appearance.