Addison goes on a road trip to LA as she is given another job offer in California, although she finds that no matter where she is, drama follows her. While in LA, she helps resolve a surrogacy problem, where it seems the surrogate had unprotected sex with many other guys on the week she was implanted with the fertilized egg. Meredith continues to improve her relationship with her father and step-mother when her step-mother is brought to the hospital. Cristina is having issues coping with her mother and (soon-to-be) mother-in-law.

Addison goes on a road trip to LA as she is given another job offer in California, although she finds that no matter where she is, drama follows her. While in LA, she helps resolve a surrogacy problem, where it seems the surrogate had unprotected sex with many other guys on the week she was implanted with the fertilized egg. Meredith continues to improve her relationship with her father and step-mother when her step-mother is brought to the hospital. Cristina is having issues coping with her mother and (soon-to-be) mother-in-law.

This episode recaps all of the seasons of Grey's Anatomy and sets up the spin-off series, Private Practice, by relating Addison's story. It also includes a preview of Private Practice.

Dr. Addison Montgomery úgy dönt, hogy otthagyja a Grace klinikát és Los Angelesbe költözik, ahol szülész-nőgyógyászként dolgozik majd egy kis magánklinikán, ahol legjobb barátnője többségi tulajdonos. Az Oceanside Wellnessben a többi orvos nem örül annak, hogy Naomi a megkérdezésük nélkül vitte oda Addisont. Első páciense egy 17 éves leányanya, aki eltitkolta a terhességét apja elől. A szülésnél komplikációk lépnek fel.

Mivel Addison éppen Sam szomszédja, váratlanul megjelenik nála Cooper, Pete és Violet. Mint kiderül, az ő ablakából szeretnék végignézni, amikor Samhez becsönget a sztriptíztáncosnő, akit Cooper megrendelt. A műsornak az Addisonhoz érkező Naomi vet véget, aki természetesen tanúja lesz a dolognak. Egy nagyon beteg gyerekről kiderül, hogy szülei valójában nem a vér szerinti szülők. Charlotte-tal közösen próbálják felgöngyölíteni a szálakat, hogy ki és mikor cserélhette el az újszülöttet.

Violet egyik betege hosszú idő óta el akarja hagyni a feleségét, de nem meri elmondani neki. A terápia hatására felbátorodik, ám a vallomástól a feleségének szűnni nem akaró orrvérzése támad. Csak később derül ki, hogy az asszony valójában mindeddig eltitkolta a betegségét. Addison mérges, mert folyton esik az eső, úgy érzi, ő nem egy ilyen Los Angelest képzelt el. Ráadásul nemigen bízik Pete természetgyógyász módszereiben, folyton vitáznak. Pete harapós kedvében van és Addison nem tudja, hogy a felesége halálának évfordulója van.

Violet teljesen kiborul, amikor meglátja Camit bemenni Naomi rendelőjébe. Rettentő kíváncsi, hogy mit keres ott. Már-már ott tart, hogy ellopja a vizeletmintáját, hogy megtudja, terhes-e. Egy zavart lány keresi fel az Oceanside Wellnesst. A lány terhes és csak később derül ki, hogy a zárt osztályról szökött meg. Közösen kiderítik, hogy egy olyan betegsége van, ami erős gyomorgörcsöket okoz evés után, ezért hitte mindenki azt, hogy sanyargatja magát.

Addison képtelen kiverni Pete-et a fejéből, folyton vele álmodik. Naomi és Sam 13 éves kislánya azzal keresi fel Addisont, hogy feltehetően nemi betegséget kapott el. Addison tanácstalan. Legszívesebben elmondaná Naominak, de köti az orvosi titoktartás. Végül kiderül, hogy Maya csak a barátnőjének szeretne gyógyszert. Cooper attól fél, Violet újra kiborul, miután Alan felkeresi a klinikán. Addison erotikus fantáziái Pete-tel folytatódnak.

Naomi úgy véli, ideje újra randizni. Cooper nem nézheti tétlenül, hogy Sam szklerózis multiplexes betege fizikailag bántalmazza tinédzser lányát. Naomi egyik pácienséről, Angie-ról, kiderül, hogy segíthetnek meddőségén, aminek a férje nagyon örül. Ám Angie később felkeresi Naomit azzal, hogy egy örökletes betegsége van, néhány év múlva minden bizonnyal meghal. Charlotte alvászavarokkal küzd, hitetlenkedve bár, de felkeresi Pete-et.

Samet egyik betege házhoz hívja. Amikor kiér a megadott címre, azt hiszi, eltévedt, ugyanis csak egy vegyesboltot talál. Amikor belép, egy férfit lát lőtt sebbel a lábán, valamint néhány vevőt, akiket egy fegyveres nő sakkban tart. Kiderül, hogy a támadó ráadásul terhes, és megindul a szülés. Addison és Naomi betege rá se bír nézni újszülött gyermekére, amikor megtudja, hogy ismét kisfiút hozott a világra. A férje ugyanis semmit nem segít a ház körül, csak három fiukkal bolondozik naphosszat. Ashley lányt szeretett volna, hogy végre ne érezze maggát egyedül. Addison és Pete egy szolgálatban nemrég megölt rendőr feleségének szülésénél segédkeznek.

Naomit és Samet magához rendeli a pap, aki annak idején az esküvői szertartásukat vezette. Mindketten attól félnek, hogy megrója őket, amiért elváltak, és bűntudatuk van, mivel előző este, immár házasságon kívül szeretkeztek. Az atya azért hívta őket, mert az egyik apáca nagyon beteg. Kiderül hogy tífuszjárvány tört ki az apácák között, az épület karantén alá kerül, majd mindenkit a kórház elkülönített részébe szállítanak. Addison és Pete részt vesznek a babamentő akcióban. Egy parkban kitett újszülötthöz azonban már túl későn érnek, a gyerek halott. Cooper egy internetes randioldalról találkozik valakivel. A bárban kiderül, hogy a másik fél Charlotte, a kórház főorvosa.

Dell beszámol Samnek arról, hogy nagyapján és annak barátján számos külsérelmi nyom arra utal, hogy az öregek otthonában bántalmazzák őket. A két öreg tagadja, hogy bárki bántaná őket. Sam és Dell váratlanul ellátogatnak az otthonba, ahol kiderül, hogy bokszmeccseket szerveznek, melyek során Wendell és Nate verekszenek, a többi idős lakó pedig fogad rájuk. Cooper ellopja Charlotte ötletét és Pete-tel tanfolyamot tartanak leendő apukáknak. Addison randizni kezd Nelson rendőrtiszttel.

Naomi körül forr a levegő, Addison és Sam aggódva figyelik, ahogy főnökük egyre jobban bezárkózik. Végül Addison nem bírja tovább, és kikényszeríti barátnőjéből az igazságot. Naomi akaratlanul is hozzájárult egy olyan terhességhez, amelynek elsődleges célja nem az új baba megszületése volt, hanem egy hétéves, leukémiás kisfiú megmentése a köldökzsinórvér segítségével.

Addison and Sam form a hostile takeover in order to bring the practice out of bankruptcy, as all of the doctors look for additional clients and new income streams, while Violet's friendship with Cooper is on the brink of extinction and a married couple fight for an unethical fertility treatment at Oceanside Wellness.

Charlotte tries to tempt Addison to come to St. Ambrose Hospital by promising her surgeries; Sam doubts his ability to save Oceanside Wellness from financial ruin; Pete's firefighter patient suffers an unusual form of post-traumatic stress disorder.

Sam and Naomi are against each other to lead the practice with unexpected results. Addison treats a girl trying to hide her past while Cooper has a dilemma of his own affecting his professional career.

Addison tries to fix the financial troubles at Oceanside Wellness, but ends up doing more harm than good. Meanwhile, Violet's friend asks her to break the law to help her while Maya hopes that Sam and Naomi are getting back together for good.

Addison treats two pregnant women who unwittingly share the same husband; Violet confronts Charlotte about her liaison with Cooper; Dell reveals a special woman in his life.

Addison's brother makes a surprise visit, causing trouble for her, Sam and Naomi; Meg comes back to try and make it work with Pete; a patient accused of a crime angers Violet and Dell.

Addison and Charlotte fight to save the lives of a woman in a coma and her unborn child; members of the Oceanside staff clash with Meg; when a patient is suspected of murdering his wife, Violet seeks Kevin's advice.

Pacific Wellcare, Charlotte's practice opens, and the competition with Oceanside Wellness starts; Dell suggests that an in-house adoption program should be created.

Meg returns to Los Angeles and notices that Violet and Pete have grown closer; Kevin questions where he and Addison are headed as a couple; Cooper treats a young boy with a mysterious past.

When Cooper's patient contracts measles, everyone at Oceanside Wellness must be quarantined. Meanwhile, Naomi tries to talk Addison into working with her rival, Wyatt; Violet and Pete contemplate their friends-with-benefits relationship; and Dell fights for custody of his daughter.

With her relationship with Kevin on the rocks, Addison finds herself attracted to Wyatt. Violet looks for a way to have a relationship with both Pete and Sheldon. Meanwhile, Cooper and Charlotte become closer after a family emergency.

Violet discovers she's pregnant, but is unsure which of the men in her life is the father of the child. Addison deals with her guilt for kissing Wyatt. Meanwhile, Charlotte proposes to Cooper.

Addison's brother, Archer, moves to Los Angeles to work at Pacific Wellcare; Cooper encourages Violet to discuss her pregnancy with Pete and Sheldon.

When Archer has a severe seizure, Addison and Naomi use every resource possible to determine the cause and a cure; Violet tells Pete and Sheldon that she is pregnant; Cooper cares for an abandoned patient.

Derek asks Addison to work with his pregnant patient while Archer recuperates from surgery; Bailey and Naomi work together to find the cause of Sam's sudden asthma attack; Cooper, Violet and Pete treat a woman with postpartum depression.

Addison suspects that Archer is up to his old tricks; a patient's child is born with male and female reproductive organs; Violet and Sheldon co-lead a therapy group for couples.

Addison flirts with a colleague at St. Ambrose Hospital; Sheldon and Pete try to convince Violet to take a paternity test; Sam accidentally calls Sonya by the wrong name.

A disturbed pregnant patient has lost her baby, and Violet must convince her that her baby needs surgery. Meanwhile, Cooper must tell a patient he needs part of his jaw removed due to a fast-growing cancer. Dell must cope with his daughter's absence when his ex has to move for a new job Sam and Addison must hold back their feelings for two unattainable people.

Cooper struggles with the mother of a patient after learning she allows the 12-year old to be sexually active. Violet is jealous after Pete begins dating a patient's mom. Meanwhile, Sam is scheduled to testify at a colleagues trial for malpractice; and Addison continues to fight her romantic feelings for Noah.

Addison sends a pregnant woman to St. Ambrose for help from Noah after she experiences heart complications. Meanwhile, Sam begins to rethink his friendship with Naomi; Pete and Lisa's relationship becomes increasingly complex; and Sheldon takes a stand.

As Violoet chooses between Pete and Sheldon, she must also deal wtih a grief-stricken patient. Meanwhile, Dell worries about his daughter when Heather returns to town and Naomi debates moving to Pacific Wellcare.

When Pete discovers Violet clinging to live following a violent attack from a patient, he rushes her to the hospital where Addison and Naomi work together to save her life. Meanwhile, the location of Violet's baby are still unknown.

Violet is physically recovering from her violent attack at home, but the emotional trauma she suffers from isn't going away, despite the best efforts of Pete and her other friends to help. Meanwhile, Addison and Naomi try to mend their tension-filled relationship, as Sam and Cooper treat a father, who has allegedly attacked his family, after he is stabbed by his wife.

Miranda Bailey brings a kidney transplant patient to Los Angeles, and Addison and especially Sam is pleased to see her. Addison's consequences of her emotional affair with Noah catch up with her. Sheldon and Pete finally discover who the father of Violet's baby.

Addison, Sam and Cooper treat the sick child of a homeless teen mother they met while volunteering. Meanwhile Violet has trouble relating to her baby when her feelings about her attack resurface during counseling of a rape victim who is now pregnant, and Cooper's financial woes catch up with him when he's asked to help buy out Naomi's share of the practice.

Katie Kent is apprehended and on trial. Violet is asked to testify against her attacker, but she struggles with whether or not she can face her attacker in court. Meanwhile a serious complication threatens the fetuses of two of Naomi's former patients and Charlotte is determined to convince Addison, Sam and Cooper to let her join Oceanside Wellness Group.

The doctors venture into controversial territory when an unexpected new hire at Pacific Wellcare causes Naomi to struggle with the idea of genetically designing babies and Violet makes a sudden decision to try electric shock therapy on a patient. Meanwhile Addison somehow finds herself alone and with a cat.

Addison and Sam go for a hike in Malibu, they come across an expecting couple trapped in their car after an accident, they then perform urgent field care. Charlotte, Cooper and Violet treat a newlywed who, on his wedding night has taken too much Viagra. Pete and Sheldon go out to a bar together and end up falling for the same girl.

While Addison deals with the unwelcome arrival of her father, Cooper is arrested because he refused to cooperate in a case involving a longtime patient. Meanwhile, Pete will stop at nothing to keep a terminally ill patient alive for as long as it takes for him to meet his new daughter.

Addison performs a complex utero surgery, proving not only her talents to her father but giving them some common ground. Sam and Naomi deal with have a family crisis when they discover Maya is growing up way too fast. Violet does the unthinkable.

An explosion at Dell's house lands Betsey and Heather in the hospital. everyone is pushed to the limit in trying to save their lives.

The tensions between Addison and The Captain rise even more when her mother, Bizzy, shows up and a shocking family secret is revealed.

Desperate to help his pregnant daughter, Mark (Eric Dane) follows Addison back to Oceanside Wellness, Dell and Naomi struggle to raise their children under the same roof, and Violet and Cooper heatedly disagree on how to treat a patient on.

Maya shocks Sam and Naomi, while Pete and Fife disagree on patient care.

Addison and Cooper are counseling a couple who must pick a child to save with their newborn's cord blood. Meanwhile Dink wants to marry Maya.

When Naomi refuses to help plan Maya's wedding, Sam convinces Violet to help her. Meanwhile the tension between Addison and Sam deepens when they treat a suicidal patient and Cooper and Pete treat a girl with a questionable bite mark.

It's Maya's wedding day and while Violet helps Sam prepare, a furious Naomi still refuses to take part as she works with Addison and Pete to save a premature baby. Meanwhile, Cooper becomes suspicious of Charlotte's new boyfriend and thinks that he may be abusing drugs.

Things get too close for comfort when Addison, Pete and Sam must come together on a complicated case involving a dad-to-be who comes down with tuberculosis and threatens the future of his new family. Meanwhile, with Violet still gone on her Costa Rican escape, Sheldon takes over helping one of her patients, Natasha, to get over her crippling fear of flying, and Naomi finds herself in a bit of a love triangle of her own.

When Addison's patient and the life of the three unborn babies she is carrying as a surrogate hang in the balance, Sam's new girlfriend, Vanessa, and Addison are sharply divided on the course of treatment. Meanwhile Cooper seeks Sheldon's help with a young patient, but their personal quarrels over Charlotte get in the way, and Naomi has a dilemma of her own between William and an unexpectedly charming Dr. Fife.

A husband's decision to pull the plug on his pregnant wife is overruled by a judge, forcing the hospital to keep her on life support until the fetuses she is carrying as a surrogate are able to survive. Meanwhile, Naomi feels betrayed after learning of Sam and Addison's feelings for one another, and she turns to Dr. Fife for support while William is away on business. And unable to cope with the tension, Addison takes the day off with Pete and Lucas.

When famed neurosurgeon Dr. Ginsberg and her team pay a visit to St. Ambrose to save the life of Kayla, Addison is shocked to see Amelia Shepherd - Derek's younger sister on the team. But Amelia's presence causes strife between Addison, Sam and Pete when she claims she can save Kayla's life after Dr. Ginsberg declares nothing can be done. Meanwhile Charlotte seeks from Cooper's with a sex education seminar for the elderly that only leads to more tension between the two, as they try to figure out how to work together.

After her open-ended escape to Costa Rica, Violet has finally returned home and to the practice. Everyone treads a little lightly around her, especially Pete and Addison who have mixed feelings about Violet's desire to reconnect with Lucas. Meanwhile Amelia butts into Sam's personal life, pointing out that he can mend hearts in the OR but can't seem to do that for himself; and Sheldon encourages Charlotte to reconcile with Cooper, while Cooper deals with a young patient who eats everything in sight.

After Violet files for joint custody of Lucas, an embittered Pete voraciously fights back by hiring a tough attorney for the trial, forcing their fellow friends and co-workers to choose sides and have their personal lives dragged onto the stand and into the public eye.

Naomi begs Fife to use his still experimental treatment to help William's advanced ALS. Violet and Amelia treat a woman with a brain tumor, while Sheldon decides to vie for Charlotte's affections.

Maya and her unborn baby are fighting for their lives on the operating table, and Addison, Amelia and Fife try everything humanly possible to save them. Meanwhile, Sam operates on an incoming crash victim and later makes a grim discovery; Cooper makes an ill-timed but valiant effort with Charlotte, and the staff’s world gets rocked by an unexpected death.