Dr. Addison Montgomery returns to discover things are a little different at Seattle Grace and yet some things never change.

We were totally jazzed to see Kate Walsh take a break from her Private Practice to make a triumphant return to Seattle Grace. Yes, Addison is back, even though she tells everyone she’s not. Her expertise is needed for a rare prenatal surgery. An unborn baby’s heart is growing outside of his body. Addison will deliver the baby while Erica works on the heart. Alex, Mark, Bailey and the Chief also pitch in.

The baby’s surgery is risky. Alex is angered by the optimistic parents, feeling they may be unprepared. His attitude worsens when Rebecca/Ava shows up announcing she’s pregnant. Izzie examines her in the clinic. The tests results show Rebecca’s not pregnant (Ava either). You think Izzie will tell Alex? Sometimes that whole doctor-patient confidentiality thing is really annoying.

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