As Toya looks for locations for her husband's medical concierge business, she is at odds with him on where to break ground. Meanwhile, Dr. Heavenly's daughter interns for Lisa Nicole and designs a dress for her mother's upcoming app release party. At Dr. Jackie's fitness event, staying in shape is far from everyone's mind when Lisa Nicole accuses Quad of publicly questioning her husband's sexuality.
After months of hard work, Dr. Heavenly is finally ready to launch her dating app, Piq. During her release party, everyone in town stops by, including Atlanta socialite Claudia Jordan. However, Dr. Heavenly's husband doesn't love the fact that her new venture will keep his wife busier than ever. Meanwhile, Jill throws a wild Prohibition Party but things get out of control when her husband is accused of disrespecting Dr. Heavenly, and Mariah decides to show up fashionably late to reclaim her seat at the throne. With all the drama surrounding the group, Dr. Simone decides a couples' trip to the Bahamas will be the best way to put the fractured crew back together.
With the upcoming trip to the Bahamas, the ladies have a number of things to settle at home before departing for an island in the sun. The trip starts out on a festive note as the couples are met at the hotel by a band but by dinner, Jill and Dr. Heavenly go head to head for round two of their disagreement.
Although the trip was intended to bring relaxation and reconciliation, the voyage is off to a rocky start with all the ladies reflecting about their relationships with one another. Meanwhile, Dr. Simone tries to get everyone back on track and arranges a medical mission for the less fortunate in order to regroup and focus their attention on helping others.
Unresolved issues arise between Mariah and the others; Dr. Heavenly decides not to attend Quad's ``Heroes in Healthcare'' event; Mariah reveals the real reason why she holds a grudge against Toya, causing the group to question whether she belongs.
The two-part Married to Medicine reunion kicks off with Simone and Toya as they look back at their confrontation from Season 2 and reveal some deep-rooted issues about their childhood. As Quad and Lisa go toe-to-toe over their accusations and legal matters, Heavenly continues to push the women to confess who was to blame over this year's drama. Given light of Jill's recent accusations and arrest, the ladies question whether they treated her fairly. And, bringing her usual spiciness, the Queen Bee Mariah re-enters the Hive for one last showdown.
Part two of the Married to Medicine reunion sets off the alarm when Mariah quickly realizes she's the one in the hot seat. It's not all about the ladies this time though as the husbands join the mix and add fuel to the fire. Relationships are put to the test when the conversation turns to Toya and Eugene's inability to communicate. While Lisa's issue with strippers is discussed, it's revealed that Darren isn't the only husband who likes to indulge in the stripper pond. Plus, the quest begins to see if these ladies can come together again, meanwhile Quad defends her throne to stay in the group.