Four women struggle with their past in their life in Staten Island, Ny. Carla Facciolo, known usually as the classy one, Ex Husband: Joey Fergganamo. Drita D'Avanzo, known usually as the tough one, Husband: Lee D'Avanzo. Karen Gravano, Father: Salvatore (Sammy "The Bull") Gravano, known usually as the defensive one. Renee Graziano, Father: Anthony Graziano, known usually as the drama queen. Throughout the seasons, we see more struggling women from Staten Island and Philadelphia, like Angela "Big Ang" Raiola, Natalie Didonato, Ramona Rizzo, and much more.