The Bunco Party takes an uncomfortable turn when Slade and some of the OC men, invited by Tamra, join the party. Confronted immediately by Vicki about his comedy routine, Slade aggressively defends himself. Gretchen and Vicki get into a vicious screaming match, where Gretchen accuses Vicki of being a hypocrite. Alexis gets defensive when Tamra and Heather call her out on her upcoming nose job. Later, once the party drama has passed, Alexis goes in for her surgery, and Vicki's daughter Briana heads to the hospital to have her thyroid removed, fearing the worst - cancer.