Tyler Perry’s Sistas season 9 episode 2 was released on July 23, 2025. In the episode titled, Do No Harm, Karen suffers while being ignored by a dismissive doctor, forcing the Sistas to search for a medical professional who will take her condition seriously. The episode reaches its climax when Karen receives proper care from a doctor who reveals a shocking discovery that changes everything.Disclaimer: The following article contains spoilers from Tyler Perry’s Sistas season 9 episode 2. Reader discretion is advised.This revelation in the second episode of Tyler Perry’s Sistas season 9 builds on the season premiere's bombshell that Karen is carrying twins with different fathers, and the doctor reveals that one of her twins passed away in the womb. It’s the reason why Karen has been in so much pain and suffering since she walked into the hospital.The episode ends with significant concerns about Karen's health as complications intensify from her high-risk pregnancy.Tyler Perry’s Sistas season 9 episode 2 focuses on Karen’s sufferingBET's Tyler Perry's Sistas at The Empire State Building Photo Opp (Image via Getty)From the moment the series first introduced Karen, the show has put her through test after test, and Tyler Perry’s Sistas season 9 has been no different. The season’s premiere began with a gunshot, a blackout, and a hospital staff overwhelmed with everything that they failed to respond to Karen’s issues.She’s met by complete indifference from the moment she stepped in, and despite her insistence that something was wrong with her pregnancy, the hospital staff takes no action. Thanks to Fatima’s persistence and determination, Karen is eventually admitted to a room, which is where episode 2 of Tyler Perry’s Sistas, season 9, begins.The focus of the episode is on Karen’s deteriorating health condition as she fails to get proper medical care. Her doctor is Dr Cruz, the head of obstetrics at the hospital, and he proceeds to dismiss her concerns as routine pregnancy complaints.Even when Karen, her mother, and the Sistas explain that Karen is experiencing severe symptoms that should warrant immediate medical attention, the doctor pushes their concerns aside. Instead, he explains that because she’s carrying twins with different fathers and is of a smaller stature, her body is not built to deliver two babies, and thus she’s struggling.But the Sistas refuse to accept that explanation, and Fatima eventually begs another doctor, Dr Vaughn, to examine her friend.Dr. Vaughn’s introduction finally reveals the real problem with Karen’s pregnancy View this post on Instagram Instagram PostIn Tyler Perry’s Sistas season 9 episode 2, Dr. Vaughn and a helpful nurse eventually agree to help the Sistas and Karen out and examine her by performing an ultrasound. However, while they were talking and explaining things to the group during the procedure, the two medical professionals suddenly fell quiet.Both dismiss any concerns the group has, and Dr Vaughn leaves to update Dr Cruz about the results of the ultrasound. He eventually finds Dr Cruz, which is when Sabrina Hollins, on her way to Karen’s room, discovers the two men in conversation.Vaughn tells Cruz that he performed an ultrasound on Karen, and Cruz chastises him for doing so. But Vaughn persists and tells Cruz that he believes one of the twins has passed away in the womb. He explains that he heard only one heartbeat when he performed the ultrasound, and that is why Karen is suffering so much.However, Cruz dismisses the results and says that Karen can still undergo regular labour. But Vaughn fights back and says that if an emergency C-section is not performed, then Karen could die. Sabrina overhears this and continues eavesdropping as Cruz dismisses Vaughn’s concerns again and even threatens the four-year resident’s job, using his position as head of obstetrics to do so.Sabrina takes this news back to the Sistas, after which Andy and she confront Vaughn, who tells them that Karen has to make a formal complaint and request to change doctors. She does exactly that while in tremendous pain, as Cruz scoffs at the results and is unhappy at her decision.However, Vaughn is appointed as Karen’s new doctor and immediately decides to perform the C-section. He also informs Karen and the group about the fact that he believes one of the twins has passed away in the womb, which is why they need to perform the procedure as soon as possible.Karen’s decision could have big implications for Tyler Perry’s Sistas season 9 View this post on Instagram Instagram PostLater in Tyler Perry’s Sistas season 9 episode 2, after Vaughn leaves to gather his team, Karen speaks to Andy and Sabrina while the rest of the group goes into the waiting room to await news of how the procedure went. There, Karen proceeds to tell her two friends that in case both twins are alive and the doctors are forced to choose between saving her and her babies, she wants them to pick the children.While both Sabrina and Andy appear shocked by their friend’s decision, they initially refuse to do so, but Karen begs them to, and they reluctantly agree to Karen’s wishes, but Andy asserts that nothing will happen to her. However, Karen fails to respond as she falls unconscious.And despite the two friends attempting to wake her up, her vital signs start dropping, causing an alarm to ring out as the episode ends.Interested viewers can watch Tyler Perry’s Sistas season 9 on BET.