Warning! This article contains SPOILERS for Grey's Anatomy season 20, episode 4.

Greys Anatomy season 20, episode 4 marked the return of Arizona Robbins for an important case, while the interns continued to work on their procedure logs in hopes of returning to the operating room. Jessica Capshaw exited Greys Anatomy in season 14 along with Sarah Drew (April Kepner), but while April has made multiple appearances since, season 20 was the first time Arizona returned to Grey Sloan Memorial Hospital. Upon leaving, Arizona moved to New York to be with her daughter, Sofia, but fortunately, a case required one of the worlds best fetal surgeons to come to Seattle.

The latest episode was the first to premiere since the news of the Greys Anatomy season 21 renewal. Having a character like Arizona, who first appeared in Greys Anatomy season 5, is a reminder of how much the series has changed and grown. Greys Anatomy season 20, episode 4 was also the first episode this season without Meredith, but Ellen Pompeo is set to return for at least one more episode. The blend of old and new guards is best shown through the interns, who are still paying for what happened in the Greys Anatomy season 19 finale.

At the end of Greys Anatomy season 20, episode 3, Lucas surprisingly moved out of Merediths house, where hed been living with Yasuda and Simone. He didnt tell them he was leaving or where he was going, as he didnt end things on good terms with either of his roommates. So while the move might have been surprising in the moment, it was also understandable. Luckily, he was able to stay with his aunt Amelia.

Greys Anatomy season 19 revealed that Lucas is the son of one of Derek and Amelias many sisters, though its unclear whether Nancy, Liz, or Kathleen is his mother. Amelia doesnt have a good relationship with her sistersnone of them even bothered to attend her and Owens weddingbut she hasnt let that affect her bond with her nephew. Despite being family, Amelia and Lucas havent shared many scenes in Greys Anatomy, and their new living arrangement provided an opportunity to explore their dynamic.

Unfortunately, Lucas doesnt make for the best roommate. Amelia spent most of Greys Anatomy season 20, episode 4 frustrated with Lucas messiness and the fact that he took her car without permission. However, a conversation with Monica reminded Amelia that Lucas is just an intern, and she decided to cut him some slack, which led to a sweet scene between the aunt and nephew at the end of the episode.

While the interns were able to keep their jobs after the events of the Greys Anatomy season 19 finale, they are still dealing with the consequences of their actions. In Greys Anatomy season 20, episode 4, the interns were interviewed individually by a group of lawyers about their conduct with Sam, Maxine, and Teddy. The investigations results havent been revealed yet, but the fact that theyre being investigated in the first place suggests their troubles arent over.

Though Jules and Yasuda technically didnt do anything wrong, they were lumped in with the rest of their intern class. Jules was removed as Maxines healthcare proxy at her sons request, which upset her, while Yasuda just had to answer questions about Teddy. On the other hand, Simone told the lawyers she probably wouldnt have operated on Sam if Lucas hadnt been there, which could put the responsibility almost solely on him. With the new investigation, getting back into the OR could be the least of some of the interns worries.

After six seasons, Arizona finally returned to Grey Sloan Memorial Hospital to help Amelia, Jo, and Bailey with a pregnant patient named Vida. Though Arizona started Greys Anatomy as a pediatric surgeon, her fellowship with Dr. Herman in season 11 made her one of the worlds only fetal surgeons. Thus, it only made sense to call her when Vidas fetus developed a rare blood disorder that affected the babys brain. The typical course of action in this case is to operate on the babys brain following birth, but Arizona hoped to be the first to perform the surgery in utero.

Jo and Amelia were immediately onboard, but Bailey had reservations, as did Vida. Since it wasnt her role as a doctor to convince a patient to get surgery, Arizona prepared to leave before she was stopped by Vidas husband, who convinced her to stay. To help reassure Vida, who has a history of vision loss, Arizona walked her through the procedure using 3D-printed phantom skulls, and she agreed to the operation in hopes it would save her baby after two heartbreaking miscarriages. Despite a complication during the surgery, Arizona, Jo, and Amelia were able to fix the fetus brain.

While many viewers expected Arizonas Greys Anatomy return to address whether she and Callie got back together, she made no mention of her life in New York. Rather, her storyline was entirely centered around the groundbreaking surgery. Though this might be disappointing to some viewers, hopefully, this isnt the last weve seen of Arizona.

In Greys Anatomy season 19, Jules revealed a bit about her family and how different they were from her. While Jules is determined and focused on becoming a doctor and making something of herself, she was raised by carefree parents who were more focused on doing drugs than raising their children. Greys Anatomy season 20, episode 4 introduced another Millin for the first time, Jules brother Doug, who also claimed to be a doctor.

However, Doug was a wellness influencer with no credentials or authority to practice medicine. Doug didnt come to Seattle just to visit his sister, bringing one of the patients hed been treating with him. Jules was tasked with draining a large lesion on the patients back, which she was able to do with the help of Yasuda and Owen.

When they completed the procedure, Doug fainted, clearly not used to seeing actual medical procedures. Upon waking up, Doug called Jules, interrupting her at an important moment. Fed up with always taking care of her brother, she called him out for being a fake doctor. Overhearing their conversation, Owen berated Doug for deceiving patients and potentially harming them under the guise of having a medical background. The stark contrast between Jules and Doug helps explain her no-nonsense personality and unwillingness to deal with other peoples problems.

Since Bailey was named residency director in Greys Anatomy season 20, she has been somewhat harsh on the interns, whom she doesnt trust to be in the OR. Beyond making them follow her famous five rules, she gave them all procedure logs to complete before theyd be allowed to return to the OR. When Arizona learned of this, she argued with Bailey that magic could happen during her surgery, and without seeing it, they might not be motivated to get back into the OR.

Arizona was able to convince Bailey to let them stand in the room and watch from a distance, though they didnt seem to appreciate the opportunity as they should have. Rather than take in the history-making moment, the interns let themselves get distracted, with half of them even leaving mid-surgery. Due to this, Bailey regretted even letting them in.

In Greys Anatomy season 20, episode 3, Teddy was finally released from the hospital after undergoing open-heart surgery, and in episode 4, she was able to return to work. However, Winston didnt clear her to perform surgery, worried about her stamina. As the chief of surgery, Teddy was determined to do more than just desk work, and enlisted the help of Richard and Link.

Together, they performed procedures on dummies
in the lab to try and convince Winston that she was ready to return to the operating room. Eventually, Winston agreed to let her perform a procedure, and Richard decided to assist. Yet, when it came time for the surgery, Richard left, not feeling ready to operate after nearly lapsing in his sobriety. Without Richard there, Teddy left as well, reassuring Richard that he was ready and that shed be there for him.

In Greys Anatomy season 20, episode 2, a young John Doe, whom they later discovered was named Dorian, came into Grey Sloan Memorial Hospital with three gunshot wounds. Just when it seemed like he was gone, Kwan managed to save his life. After Yasuda spent Greys Anatomy season 20, episode 3 monitoring him, he developed abdominal compartment syndrome and had to undergo an exploratory laparotomy.

After all his complications, Dorian finally woke up in Greys Anatomy season 20, episode 4, but he still had a long way to go to being fully recovered. When things once again took a turn for the worse with Dorian, Schmitt had Kwan perform a central line on him, but he chickened out last second. Kwan then confessed to Schmitt that all he could see was Maxine. Schmitt told him that memorable patients will always follow you, but that it wasnt necessarily a bad thing.

At the end of Greys Anatomy season 20, episode 4, Yasuda became the first of the interns to complete her procedure log. This should have meant that she was cleared for the OR, but Bailey was still disappointed by the interns behavior during Arizonas surgery. Due to this, she changed the rules for the interns regarding what they needed to do to get back into the OR. For the interns to earn their privileges back, all of them would have to complete their procedure logs. Until then, none of them were allowed in the OR.

To get this done, the interns would have to work together rather than fight for procedures like theyve been doing since they were given the logs. Though this was potentially unfair to Yasuda, who didnt do anything worthy of getting kicked out of the OR in the first place and even saved Teddys life, the interns need to stop seeing each other as competition. Hopefully, this will also lead to some of the interns repairing their broken relationships in Greys Anatomy season 20.

Episode #

Title

Release Date

1

We've Only Just Begun

March 14, 2024

2

Keep The Family Close

March 21, 2024

3

Walk on the Ocean

March 28, 2024

4

Baby Can I Hold You

April 4, 2024

5

Never Felt So Alone

April 11, 2024

6

TBA

April 18, 2024

7

TBA

May 2, 2024

8

TBA

May 9, 2024

9

TBA

May 16, 2024

10

TBA

May 23, 2024

Where To Watch Grey's Anatomy

Grey's Anatomy is considered one of the great television shows of our time, winning several awards and four Emmys. The high-intensity medical drama follows Meredith Grey and the team of doctors at Grey Sloan Memorial, who are faced with life-or-death decisions on a daily basis. They seek comfort from one another, and, at times, more than just friendship. Together they discover that neither medicine nor relationships can be defined in black and white.

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Grey's Anatomy Season 20, Episode 4 Recap: 8 Biggest Story Reveals - Screen Rant