At Seattle Grace, there's no amount of convincing Dr. Richard Webber can do to make Dr. Addison Montgomery (Kate Walsh) stay at the hospital.
She's determined to move to Los Angeles and start a new life. And since she'll be working at Oceanside Wellness Center, a medical co-op run by her best friend Naomi Bennett (Audra McDonald), what possibly can go wrong?
[break]Lots. First, basking in the joy of starting that new life, Addison dances naked around her new Malibu beach house. She hasn't even had time to install curtains yet, so her next-door neighbor catches her in all her glory through the window. We'd like to be that neighbor, but instead he's Naomi's ex-husband and current business partner at Oceanside, Sam Bennett (Taye Diggs).
Second, Naomi has neglected to tell Sam or any of the doctors at Oceanside that she's hired Addison. Nope, not even holistic medicine practitioner, Dr. Pete Wilder (Tim Daly), whom Addison smooched several months back on a visit to L.A. Sam, Pete, pediatrician Dr. Cooper Freedman (Paul Adelstein), psychiatrist Dr. Violet Turner (Amy Brenneman) and midwife Dell Parker (Chris Lowell) are up in arms that Naomi has made this serious decision behind their backs.
[break]Before a heated argument can erupt at the co-op, a middle-aged patient, Ken, has a stroke while, um, giving a sperm specimen. His young girlfriend, Leslie, is incredibly anxious to get pregnant. Sam races with his patient to the nearest hospital, St. Ambrose, but it's too late. Ken is DOA. A distraught Leslie then makes a bizarre request: She wants Ken's sperm extracted from his corpse, so she can still have his baby. Yuck!
While Sam is ready to fulfill Leslie's wish—as odd as it is—he's halted by St. Ambrose's chilly chief of staff, Dr. Charlotte King (KaDee Strickland), who says the woman has no legal right to her boyfriend's bodily fluids. Sam calls Naomi in for backup, who produces paperwork showing that Leslie is entitled to everything of Ken's. Well, she is until Ken's ex-wife Maria shows up to protest.
[break]Back at Oceanside, Addison is about to deliver her first baby in the co-op's delivery room. Lucy, a teenage girl, pushes hard while her disapproving father, Bill, looks on. Pete, who's been pressuring Addison to admit she only moved to L.A. because he kissed her, assists in the delivery. Suddenly, everything goes wrong. Lucy passes out and her heart begins to fail. Bill panics. Lucy’s mom died in childbirth the same way!
Addison and Pete stabilize Lucy, but she's unconscious. There's no time to wait for an ambulance. If Addison doesn't perform a C-section, baby and mother will both die. But Addison freaks that she's not in familiar territory for this type of surgery, that she doesn't have the proper equipment and, worst of all, there's no anesthesia.
Pete swears his holistic training can make it so Lucy won't feel any pain. Skeptical, but with no other option, Addison lets Pete work his 'voodoo' as she calls it. Then, she cuts into the girl's belly. Since Lucy doesn't wake up screaming maybe Pete’s worth his salt after all.
[break]Meanwhile, Violet tries to help one of her patients, Jenny, a woman who has had a complete mental breakdown. As a crazed Jenny kneels down obsessively counting department store floor tiles, Violet gets help from her best friend, Cooper, who produces records showing that the distraught woman is still reeling from having to pull the plug on her young son who died from a brain tumor years ago.
At St. Ambrose, Naomi convinces Maria that she has to stop being bitter over the divorce and let Ken go, much like the way Naomi has to get over her own divorce from Sam. Maria relents and Naomi finally extracts the sperm from Ken for Leslie.
[break]After the successful delivery of Lucy's baby, Addison is called into a meeting of the Oceanside staff, who want a proper, equal vote on her hiring. Before they can vote, though, Addison makes a bold speech about how Lucy would have died if she weren't there and they would have been screwed. Hey, she has a point, right?
Addison tells everyone, "I'm a world-class neonatal surgeon and I'm here to stay. Welcome to the new Oceanside Wellness." Indeed!