After Zoe tricks Jonah into spilling a secret about Brick, she unintentionally makes things worse for Brick in his love life. Following Brick's advice, Zoe decides she must finally express her feelings, but timing never seems to be her strong suit. Wade and Lemon must learn to work together, but things go awry when they each try to prove that they know what is best for the new Rammer Jammer. Knowing what Wade and Lemon are up to, Lavon and AnnaBeth agree to not get involved, but that might be easier said than done. Meanwhile, Tansy's brothers surprise her with an unexpected visit, leaving George to look after them and put up with their wild antics.
Fast-talking New Yorker and brand new doctor Zoe Hart has it all figured out - after graduating top of her class from medical school, she'll follow in her father's footsteps and become a cardio-thoracic surgeon. But when her dreams fall apart, Zoe decides to accept an offer from a stranger, Dr. Harley Wilkes, to work with him at his small practice in Bluebell, Alabama. Zoe arrives in this small Gulf Coast town only to find that Harley has passed away and left his half of the medical practice to her in his will.
She quickly finds that Southern hospitality isn't always so hospitable - the other doctor in town, Brick Breeland, is less than pleased to be sharing the practice with this young outsider, and his daughter, Lemon, is a Southern belle whose sweet disposition turns sour when she meets Zoe. Zoe's only allies are the mayor, former football star Lavon Hayes, her bad-boy neighbor Wade Kinsella, and handsome lawyer George Tucker - who just happens to be Lemon's fiance. Zoe is out of her element and ready to pack her bags, but a surprise visit by her snobby New York mother leads to Zoe's decision to stay in Bluebell for a while, discovering small-town life and a side of herself she hadn't known was there.