The film begins with Shirley goes to visit Dr. Evans with Aunt Bam about her cancer and finds out that it has gotten worse. She asks Aunt Bam to call her children so she can tell them. Cora and Mr. Brown are at the hospital, to get Mr. Brown a check-up. Dr. Evans tells them he has to do a colonoscopy on Mr. Brown, and they find a growth that needs to be removed surgically. Meanwhile, Madea stops at a fast-food restaurant to get a quick breakfast meal. However, things quickly go downhill when Madea gets held up for more than fifteen minutes by the manager Sabrina, who's busy yelling at someone on her phone. When Madea finally gets her attention and tries to order, Sabrina refuses to serve her lunch as the time for breakfast had expired, despite having held Madea up for fifteen minutes. She then sasses Madea, telling her to move. However, this proves to be the last straw. In her usual fashion, Madea drives her car into the restaurant and proceeds to hurl various utensils at Sabrina, telling those in the restaurant that if they want her arrested, her name is Cora Simmons and she peels out to avoid getting arrested also.

Shirley's dinner goes well at first. However, before Shirley is able to tell her children the sad news, Sabrina arrives telling Byron that she is filming an episode with Maury due to the situation mentioned earlier with Byron and Sabrina. Kimberly eventually arrives over and she snaps, refusing to sit at this table like everyone's one happy family when no one can stand each other, snapping at everyone. Tammy and Kimberly have a vicious argument that leads to Tammy revealing that Kimberly got pregnant at 13 and Shirley raised the child, shocking everyone present except Shirley, Madea, and Aunt Bam. Shocked and beyond furious, Kimberly forced Calvin to leave immediately. To make matters worse, Byron lightens the mood by joking about this, asking what happened to Kimberly's baby. Tammy simply tells Byron to "look in the mirror," causing Byron to realize he's Kimberly's son. Shocked, Byron storms out of the house, angry this was kept from him. For the first time after some encouragement from Madea, Harold put his foot down towards Tammy and tells her to respect him more. Tammy and Harold then sort their problems out: Harold acted weak because Tammy acted like she was the dominant one in the relationship, and the resultant bickering and power struggle between them led their children to show no respect for their parents or anyone else. In the end, Tammy, Harold, Madea, and Bam are the only ones left at dinner, leaving Shirley unable to tell her tragic news. After dinner, Kimberly and Calvin continue to fight, which results in Calvin leaving and taking their son with him, much to Kimberly's dismay. When Byron and Renee go to the drug store, they look at the TV where they see Sabrina on "Maury" humiliating Byron and asking for her child support, pushing him to the edge and making him selling back drugs. Madea and Joe are watching said Maury episode at their home with both of them feeling sorry for what had been going on with Byron. Cora and Mr. Brown arrives and tells Madea about the doctor report about who Cora's father and asks who is the actual father. She points out to Cora that she had used to be a hoe, and she had been with so many men that she had no idea. However, she affirms that Mr. Brown is Cora's father, and the hospital must have made a mistake. Joe claims at first that Bill Clinton was Cora's daddy and Tom Joyner after that. Madea debunks both of these answers. She and Joe also tell Mr. Brown and Cora that DNA (in which they mispronounced as Dana) would help. Confused, Mr Brown and Cora tell them that "Dana" would not help. When Madea gets stressed out of the situation, Joe encourages Mr. Brown and Cora to call Maury while it is playing on the TV.

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After Shirley's funeral service, which went on exactly like how Shirley had asked Bam in the beginning of the film, the wake takes place at Shirely's house, with Madea being there to help after hearing the shocking news, though she did not attend the funeral because she hates funerals. Unfortunately, Madea notices the fights between Kimberly and Calvin, as well as between Sabrina and Byron beginning anew. Sick of the fighting, Madea calls the whole family into the living room and confronts them, saying that Shirley was a peaceful woman and she didn't want all the fighting.

The film ends with Madea, Mr. Brown, and Cora taking Joe's suggestion by going to The Maury Povich Show to find out if Mr. Brown is in fact Cora's father. Madea heavily argues with Mr. Brown and Cora about who the daddy and hopes to know that her answer is true, but it turns out that the medical report is true. This surprises Madea who runs off-stage, sobbing hysterically in regret while Joe who is watching at home is glad of the consequences that his younger sister got.

*Mr. Brown is revealed to not actually be Cora's father and this is mentioned in Assisted Living as it is revealed that Cora may have been a result of a relationship Madea. However, the Madea Farewell stage play and A Madea Homecoming apparently does not acknowledge this.

*At the beginning of the film, Mr. Brown has apparently never had a colonoscopy or a prostate exam, the latter of which terrifies him, telling the doctor that he's "new." However, in the previous film Madea Goes to Jail, he tells Madea to watch her health as they're driving back from the courthouse, mentioning how he had had regular colonoscopy and prostate exams before and thinks Madea should get one, even though she's a woman.

*Madea apparently hates funerals and won't go to them. However, in Madea's Family Reunion, she told Carlos that she went to church for only two reasons, weddings and funerals. Although, she could have only said that as a subtle threat to Carlos and encouragement to Lisa to fight against him, 152ee80cbc

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