TV Episodes The Best Episodes of Royal Pains  

Ranker TV
332 votes 27 voters 105 items

There are so many good episodes of Royal Pains, but which ones really stand out? Do you like "Lending a Shoulder" the best, or is "Lawson Translation" your favorite episode of Royal Pains? To determine once and for all what the best episodes of Royal Pains are, let's rank every Royal Pains episode from best to worst.

Starring Mark Feuerstein, Paulo Costanzo, and Jill Flint, Royal Pains follows Hank Lawson, a wrongfully-dismissed New York ER doctor who faces a crossroads between helping the wealthy in the Hamptons as a "doctor for hire" or helping those less fortunate. Royal Pains premiered on USA Network on June 4, 2009 and concluded after eight seasons on July 6, 2016. The series received nominations in 2012 at the Young Artist Awards and People's Choice Awards.

Vote up your favorite episodes of Royal Pains, and downvote any bad episodes that you really didn't enjoy, despite how much you love the series as a whole. It can be painful to put one Royal Pains episode over the other when there are so many good ones, which is why you can vote on however many episodes you like.

list ordered by

1
11 0
Lama Trauma is listed (or ranked) 1 on the list The Best Episodes of Royal Pains
Season 7 Episode 7: Hank helps Boris prep a secret patient for surgery as Evan tries to chase a bad omen out of the hospital.

2
10 0
All In The Family is listed (or ranked) 2 on the list The Best Episodes of Royal Pains
Season 6 Episode 2: Hank worries a rising tennis star's health may prevent her from taking her career to the next level, while a fellow pro at her club may have fallen ill from an unexpected source. Later Hank and Evan adjust to a startling revelation about Eddie's past. And Evan and Paige reach a new milestone. Elsewhere Jeremiah finds peace in an odd place.

3
9 0
Nobody's Perfect is listed (or ranked) 3 on the list The Best Episodes of Royal Pains
Season 1 Episode 11: While in New York to learn more about Boris' mysterious disease, Hank discovers the Gardner family is attempting to strip him of his medical license.

4
8 0
Off-Season Greetings Part I is listed (or ranked) 4 on the list The Best Episodes of Royal Pains
Season 4 Episode 15: It's the holidays in the Hamptons! But an impending blizzard may derail Evan and Paige's wedding plans. Also, someone takes a big gamble on the future and a face from Hank's past triggers memories for Hank and Evan.

5
8 0
Hammertime is listed (or ranked) 5 on the list The Best Episodes of Royal Pains
Season 5 Episode 8: An unexpected visitor and a major auction at Shadow Pond thrust Hank, Evan, and Paige into an unfamiliar, high-stakes world that requires them to pull together like never before.

6
7 0
Listen to the Music is listed (or ranked) 6 on the list The Best Episodes of Royal Pains
Season 2 Episode 18: Hank believes his patient has been previously misdiagnosed and is determined to find out what he really has. Meanwhile, Divya and Raj prepare for their upcoming nuptials by taking dance lessons, but wind up as patients.

7
7 0
Ganging Up is listed (or ranked) 7 on the list The Best Episodes of Royal Pains
Season 6 Episode 13: Hank and Evan search for Emma after her unexpected disappearance.

8
7 0
Lending a Shoulder is listed (or ranked) 8 on the list The Best Episodes of Royal Pains
Season 7 Episode 8: Hank runs into his ex-fiance Nikki and has a startling revelation.

9
6 0
Lawson Translation is listed (or ranked) 9 on the list The Best Episodes of Royal Pains
Season 5 Episode 3: Hank and Evan heatedly compete for a new business opportunity. Meanwhile, Divya attempts to covertly reconcile the brothers' differences.

10
5 0
Something Fishy That Way Comes is listed (or ranked) 10 on the list The Best Episodes of Royal Pains
Season 4 Episode 13: Hank must travel across the globe to help an injured Dmitry. Meanwhile, Evan and Paige meet a woman claiming to be Paige's biological mother.

11
5 0
Open Up Your Yenta Mouth and S... is listed (or ranked) 11 on the list The Best Episodes of Royal Pains
Season 2 Episode 12: Hank treats a chatty socialite who disappears before he can diagnose her. Meanwhile, Divya is called to Adam's estate and finds herself surprised at how scared she becomes when his health begins to fail.

12
5 0
Mano a Mano is listed (or ranked) 12 on the list The Best Episodes of Royal Pains
Season 2 Episode 5: Hank saves the hand of one of Cuba's dissidents, and works desperately to save Boris when his health quickly fails as a result of Marisa's treatment. Divya continues to clash with Dr. Peck over the way she practices medicine.

13
5 0
My Back to the Future is listed (or ranked) 13 on the list The Best Episodes of Royal Pains
Season 3 Episode 13: When a back problem limits Hank's ability to treat patients, Evan hires Dr. Van Dyke as a temporary replacement. Guest Stars: Tom Cavanagh, JoAnna Garcia Swisher, Christine Ebersole, Kyle Howard.

14
5 0
You Give Love A Bad Name is listed (or ranked) 14 on the list The Best Episodes of Royal Pains
Season 4 Episode 5: Hank and Divya treat a matchmaker who's intent on setting each of them up. Also, while Evan tries to rein in HankMed 3.0, Paige plans a small kick-off party that turns out to be anything but small. Guest Stars: Henry Winkler, Brooke D'Orsay, Christine Ebersole, Kyle Howard, Anna George, Ben Shenkman, Kat Foster, Judy Greer, Michael B. Silver.

15
7 2
Uninterrupted is listed (or ranked) 15 on the list The Best Episodes of Royal Pains
Season 8 Episode 8: Boris prepares to leave the Hamptons and asks Hank to join him. Hank treats Libby, who is ignoring alarming symptoms. Evan & Paige dramatically grow their family. Divya gets long-awaited news.

16
6 2
Spasticity is listed (or ranked) 16 on the list The Best Episodes of Royal Pains
Season 2 Episode 1: Hank and Divya treat the heir of a famous inventor whose desire to distance himself from his father puts him in harm's way. Meanwhile, Jill's job at Hamptons Heritage is threatened when her mentor starts proceedings to have her fired. Marcia Gay Harden guest stars.

17
6 2
Crazy Love is listed (or ranked) 17 on the list The Best Episodes of Royal Pains
Season 1 Episode 7: Hank and Divya treat a Spanish spitfire involved in an accident whose injuries are more serious then they appear. A dream job offer from Boris brings Jill's childhood friend Katie back to the Hamptons, but tempers flare when Hank learns Boris has been keeping a dark secret. And the arrival of Divya's fiancé causes to her to rethink their relationship.

18
4 0
Whole Lotto Love is listed (or ranked) 18 on the list The Best Episodes of Royal Pains
Season 2 Episode 10: When two lottery winners arrive in the Hamptons, Hank treats them both for conditions that appear to be related to their newly lavish lifestyle.

19
4 0
If I Were a Sick Man is listed (or ranked) 19 on the list The Best Episodes of Royal Pains
Season 1 Episode 6: Hank quarantines guests at a "bark mitzvah" after some come down with a serious disease, which causes him and Jill to debate whether or not to call County Health.

20
4 0
Strategic Planning is listed (or ranked) 20 on the list The Best Episodes of Royal Pains
Season 1 Episode 3: Hank and Divya are called to the home of a wealthy U.S. senator, whose pushy wife Lilly Everett asks them to perform a discreet "executive physical" on their teenage son Kendrick, who will be Notre Dame's starting quarterback in the fall.

21
4 0
Some Pig is listed (or ranked) 21 on the list The Best Episodes of Royal Pains
Season 3 Episode 12: When a mysterious illness overcomes the members of an up and coming rock band, Hank and Divya have to work together to find the cause; but Hank struggles with trusting Divya after her near fatal prescription error. Guest Stars: Tom Cavanagh, Brooke D'Orsay

22
4 0
Wonderland is listed (or ranked) 22 on the list The Best Episodes of Royal Pains
Season 1 Episode 12: Hank treats a woman suffering from hallucinations, Divya and Raj fret over their engagement party, and Charlie moves back in with Jill, making her question her feelings for Hank.

23
5 2
A Bridge Not Quite Far Enough is listed (or ranked) 23 on the list The Best Episodes of Royal Pains
Season 6 Episode 3: Hank, Evan, and Paige try to help Eddie forge a relationship with Emma. Elsewhere, finding an amazing nanny helps alleviate Divya's anxiety about returning to work full-time.

24
5 2
HankMed on the Half Shell is listed (or ranked) 24 on the list The Best Episodes of Royal Pains
Season 6 Episode 11: Divya and Jeremiah work together to treat Sloane, a model with an eating disorder.

25
5 2
Secret Asian Man is listed (or ranked) 25 on the list The Best Episodes of Royal Pains
Season 7 Episode 6: Keller calls Hank for help when he suffers an embarrassing medical problem, but Hank believes Keller's new girlfriend may be affecting his health in more ways than one.

26
5 2
Rebound is listed (or ranked) 26 on the list The Best Episodes of Royal Pains
Season 7 Episode 1: Hank helps a TV host who is off her game and takes a big step in his personal life.

27
4 1
Dawn of the Med is listed (or ranked) 27 on the list The Best Episodes of Royal Pains
Season 4 Episode 4: Eddie returns to the Hamptons, intent on reuniting his boys by using his new philosophy of life. Also, Hank treats a young, energetic couple planning a unique charitable fundraiser.

28
4 1
Traffic is listed (or ranked) 28 on the list The Best Episodes of Royal Pains
Season 3 Episode 1: HankMed saves the passengers of a toppled Jitney. Hank later treats a young woman involved in the accident with seemingly unrelated symptoms, that have a more severe cause than her extreme anxiety.

29
3 0
Am I Blue? is listed (or ranked) 29 on the list The Best Episodes of Royal Pains
Season 1 Episode 10: When Hank learns Tucker's father has a substance abuse problem, he suggests a visit to rehab but Tucker's father prefers to clean up through an Ultra Rapid Detox program, a risky method that Hank objects to.

30
3 0
A Guesthouse Divided is listed (or ranked) 30 on the list The Best Episodes of Royal Pains
Season 4 Episode 3: Hank and Evan heatedly compete for a new business opportunity. Meanwhile, Divya attempts to covertly reconcile the brothers' differences.

31
3 0
The Prince of Nucleotides is listed (or ranked) 31 on the list The Best Episodes of Royal Pains
Season 7 Episode 4: Hank treats a transgender teenager and learns her life is more complicated than he expected. Evan and Jeremiah host a gala fundraiser for the Center for Rare & Orphan Diseases and Jeremiah makes a major purchase for the lab.

32
3 0
Medusa is listed (or ranked) 32 on the list The Best Episodes of Royal Pains
Season 2 Episode 4: Boris flies Hank to another country, where he and another doctor research potentially life saving gene therapies. Back in the Hamptons, Hank's temporary replacement, Dr. Emily Peck, rubs Divya the wrong way.

33
3 0
A Little Art, A Little Science is listed (or ranked) 33 on the list The Best Episodes of Royal Pains
Season 3 Episode 10: Art collector Eric Kassabian calls on Hank when he can't stay conscious long enough to enjoy a painting he's chased after his enitre career. Meanwhile, Divya tries to balance both HankMed and Hamptons Heritage, unsuccessfully.

34
3 0
In Vino Veritas is listed (or ranked) 34 on the list The Best Episodes of Royal Pains
Season 2 Episode 6: Tucker's best friend's behavior causes Tucker to suspect the worst, but Hank realizes a medical condition is to blame. Meanwhile, Divya treats a woman who fears her job as a winemaker is on the line when her symptoms hinder her palate.

35
4 2
Comfort's Overrated is listed (or ranked) 35 on the list The Best Episodes of Royal Pains
Season 2 Episode 7: When the purveyor of a popular Hamptons food truck seems quickly corrupted by his success, Hank puts together his odd behavior, and pinpoints the cause of his symptoms.

36
4 2
Good Air/Bad Air is listed (or ranked) 36 on the list The Best Episodes of Royal Pains
Season 6 Episode 10: Hank and Boris travel to Argentina to meet a potential patient for Boris' clinical trial, and Divya gets more than she bargained for when she tags along to meet Sashi's Argentinean grandmother.

37
4 2
Frenemies is listed (or ranked) 37 on the list The Best Episodes of Royal Pains
Season 2 Episode 9: Hank treats Dr. Blair's seven year-old son, Jake, whose symptoms appear to be directly related to his parents' divorce.

38
4 2
Bones To Pick is listed (or ranked) 38 on the list The Best Episodes of Royal Pains
Season 5 Episode 13: Hank treats a young paleontologist (guest star Pippa Black) who is preparing a fossilized dinosaur skeleton for auction. Russel (recurring guest star Stephen Spinella) suffers an injury that seems scientifically impossible. Meanwhile, Evan and Paige realize they need to take a drastic step to save their marriage, and Divya learns her pregnancy will be even more challenging than she expected. When the future of HankMed is threatened, Hank tries to save it by reexamining his role in the business.

39
4 2
A Trismus Story is listed (or ranked) 39 on the list The Best Episodes of Royal Pains
Season 5 Episode 12: It's Election Day and HankMed treats a thrill-seeking Hamptons reporter (guest star Laura Bell Bundy), who isn't about to let her health interrupt her innovative election coverage. Evan and Paige are shocked when the political mudslinging throws their relationship into question. As Don's (recurring guest star Brad Beyer) condition improves, Hank wonders if Molly's (recurring guest star Alexandra Socha) behavioral problems may be more than simple teenage angst. And Jeremiah comes to a disturbing realization when Shelby (recurring guest star Laura Benanti) starts asking questions about Hank's use of pain medication.

40
4 2
Oh, M.G. is listed (or ranked) 40 on the list The Best Episodes of Royal Pains
Season 6 Episode 9: Hank treats a perfumer who fears his livelihood is in jeopardy when he starts losing his sense of smell.

41
2 0
Open Invitation is listed (or ranked) 41 on the list The Best Episodes of Royal Pains
Season 5 Episode 11: With Don in a coma, Hank advocates an aggressive treatment plan that puts him at odds with the head of the Hamptons Heritage ICU.

42
2 0
Saab Story is listed (or ranked) 42 on the list The Best Episodes of Royal Pains
Season 8 Episode 5: Hank treats an overworked Keller. Divya meets Hank's mentor but a medical issue has changed him.

43
2 0
Big Whoop is listed (or ranked) 43 on the list The Best Episodes of Royal Pains
Season 2 Episode 11: Hank and Emily care for a patient together but disagree on the course of treatment. Meanwhile, Evan concocts a cyber retaliation plan against Emily, who has managed to direct web traffic to her site.

44
2 0
Blythe Spirits is listed (or ranked) 44 on the list The Best Episodes of Royal Pains
Season 5 Episode 2: Hank treats a local cop with a rebellious teenage daughter whose antics may be affecting his health. Meanwhile, Divya learns that new changes in her life may be more complicated than expected.

45
2 0
Mulligan is listed (or ranked) 45 on the list The Best Episodes of Royal Pains
Season 2 Episode 13: After Eddie suffers a heart attack, Hank and Evan learn the truth about their father's complicated past. Meanwhile, Divya remains unsettled when Adam comes back into her life.

46
3 2
Sand Legs is listed (or ranked) 46 on the list The Best Episodes of Royal Pains
Season 4 Episode 14: Hank cancels his weekend plans after treating an amateur beach volleyball player who he believes may be suffering from more than just a summer bug. Meanwhile, Divya confronts her new boyfriend after a startling discovery.

47
3 2
Imperfect Storm is listed (or ranked) 47 on the list The Best Episodes of Royal Pains
Season 4 Episode 2: When Jill's chess-obsessed nephew gets kicked out of camp for fighting, Hank realizes Luke may be suffering from more than just teenage hormones. Guest Stars: Kyle Howard, Anna George, Ben Shankman, Ernie McGillicuddy, Alexa Vega.

48
3 2
The Hankover is listed (or ranked) 48 on the list The Best Episodes of Royal Pains
Season 2 Episode 8: Hank finds himself treating his junior high nemesis, forcing him to draw the line between personal and professional agendas. Meanwhile, in order to find out Raj's true colors, Evan throws him a bachelor party.

49
3 2
Pit Stop is listed (or ranked) 49 on the list The Best Episodes of Royal Pains
Season 2 Episode 14: Hank is called to "Share House," the set of a reality TV show, when one of the contestants suddenly becomes ill. But when the entire house eventually gets sick, Hank and Divya must find the source of what's ailing everyone.

50
3 2
A Farewell to Barnes is listed (or ranked) 50 on the list The Best Episodes of Royal Pains
Season 3 Episode 11: Eric Kassabian's life hangs in the balance after a prescription error and an angry Hank blames Dr. Van Dyke. Meanwhile, Paige tosses convention aside and makes Evan an offer he can't refuse. Guest Stars: Kathleen Rose Perkins, Tom Cavanagh, Wilmer Valderrama, Brooke D' Orsay, and Kyle Howard.