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The Cowboy Carter photoshoot continues, but tyrant Toya threatens the fun; back in Atlanta, Cecil teaches the boys the way around the kitchen; Eugene makes cologne with his kids; Damon's kids bring him to tears.
The ladies enjoy a day out on the ranch; Heavenly and Tea have a saloon showdown that threatens to derail the first night. Quad tries to get Contessa and Heavenly to reconnect. Jackie tries to get to the bottom of Heavenly and Contessa's failed friendship. Toya corrals the ladies for a "Cowboy Carter" photoshoot, but her diva behavior rubs the ladies the wrong way.
After an explosive dinner, Contessa grapples with Heavenly's hurtful comments. Quad gets vulnerable with the group and finally mends things with Simone. Back home in Atlanta, Cecil brings Dr. G and Scott on a wild ride. Eugene tries to get Damon to see how Heavenly's hurtful tweets are going to make the group crash and burn. The next day the ladies wrap their heads and arms around how they will emotionally and physically recover from last night's fight.
The Married to Medicine ladies are at a friendship crossroads with some of the women ready to renew bonds while others are collecting apologies. Dr. Jackie is still doing her best work while keeping the tranquility among the women. As Dr. Simone is trying to move forward selectively in friendships, Cecil is making it his mission to help her get on track with everyone, including Quad. Dr. Heavenly is doing some self-reflection and while trying to right her wrongs, some things will be easier said than done. Toya is making sure everyone in the group stays accountable. Quad is ready and willing with open arms to give dating another whirl while also making a fresh start with the women. Phaedra is trying to help repair any friendships in need of healing. Lateasha has baby fever and is working full time with Dr. G to expand their family. Dr. Contessa is back in the mix with new alliances. Although new, Dr. Mimi will make sure her opinion is heard when getting to know this group. With so much new energy, will these ladies be able to get back to the core of friendship?