Alexia Umansky from Buying Beverly Hills and the Real Housewives of Beverly Hills is hanging out in the O.R.!

Alexia tells us what it was REALLY like growing up on reality TV with her mom Kyle Richards, and we get some inside info on the tough conversations that DIDN’T make the final cut!

Plus, Alexia opens up about her relationship and reveals how she knew he was the one since elementary school!