So glamorous do these Doctors and their wives depict their lives in Atlanta’s elite medical community. Yet all that glitters is usually something from the gutter when trashy tacky reality show neophytes rumble it out for the pay per view audience.

[READ: Married To Medicine: Meet the Cast… (PHOTOS + VIDEO)]

Those who have yet to find endearment with these disenchanted medical divas dressing poodles in Dior just for shits and giggles, may have missed what could be the highlight and low light of this season.

Lets get ready to Rumble…. 😯

Recap of the poolside punch out + revisit the fight video below…

Mariah Huq, who comes off as the ‘NeNe Leakes’ of this show’s cast, has had enough of her new friend turned nemesis Toya Bush-Harris (known affectionately online as ‘Tacky Toya’), when Toya’s hot mouth babbles personal information about her cast mate’s daughter.

But this was no ordinary ‘housewife’ brawl!? This throw down was complete with MMA style fight tactics with a room full of doctors available to stitch up any forehead gash that Toya may have received from Mariah’s clutch smashing her over the face.

These women went royal rumble on each other!

The fight definitely was not just a made for tv moment, this was pure animosity and guile playing itself. The only thing missing was somebody chanting?‘World Star!’ in the background…

VIDEO: Married to Medicine: Poolside FIGHT!

The fight play by play…

Mariah confronts Toya about words that Lucy, Mariah’s mom, exchanged with Toya earlier in the evening.? As they go back and forth talking about respect or disrespect, Mariah begins to mimic what Sheree Whitfield did to Kim Zolciak’s wig, with a few tugs on Toya’s spiral curls.

As the words escalate, Toya pushes Mariah’s hands away from her split ends, letting her know in no uncertain terms: “don’t put yo muthf*ckin hands…”

In great reality show fashion, Toya launches her drink in Mariah’s face with Mariah counter punching her with a beaded clutch.? Mariah then goes for the takedown as she collapses Toya to her back knocking her over the pool furniture.

Toya was a game competitor as she threw several overhand rights to the face of Mariah as she combated from the bottom.

As other party guest rushed over to break up the fight, the combatants clutched each other’s 28 inches of yaki straight weave not conceding defeat.

“I could of killed Toya’s ass, I could of threw her ass in that pool and drowned that bitch” Mariah exclaimed… while her Momma Lucy, who delivered two additional evening purse blows to the head of Toya, chimed in “I hope you beat her ass!”

The official punch count favored ‘Tacky Toya,’ who threw hands like Floyd Mayweather, and for all accounts seemed to be the winner of this bout.

The other cast members and mortified guests of this brilliant shenanigan may have called it even… two losers married to money, both needing a lobotomy!

VIDEO: Married to Medicine Fight: The aftermath…

What did you think of these ‘Ball Gowns Banging in Buckhead’?