In the season finale of Married to Medicine, the ladies enjoy a day of sightseeing that leads to some close encounters. Anila finds a creative way to get her money from Lisa. Later, the men join the ladies for the last night on the island. The truth about Scott and Contessa finally comes out, but will it create more questions than answers?

Scott crashes the stage when he hears Contessa's reveal their relationship status. The women question Scott's fidelity, and Contessa has a breakdown backstage. Simone and Jackie's friendship is questioned, while Simone is brought to tears over her hostile relationship with Heavenly. The men arrive to the stage and Scott is caught in a web of lies.