
Grey's Anatomy: Season 4
2007 · 16 episodes · ★ 7.9
What Season 4 of Grey's Anatomy
Season four opens with a change in rank: surgical interns are now residents and supervise their own junior interns. Meredith, Cristina, Izzie and Alex take on the new role, and Cristina returns from her honeymoon to find that Burke has resigned. Among the junior interns are George, who repeats the year after missing his exams, and Lexie Grey, Meredith's half sister, whom she has never met. Meredith and Derek's relationship has stalled, and Derek starts noticing other colleagues. Bailey fights to keep her place at the hospital now that her former intern reports to the new chief resident.
Season 4 Episodes

4x01 A Change Is Gonna Come
Entering their first year as residents, Meredith Grey, Cristina Yang, Izzie Stevens and Alex Karev now have interns of their own to mentor. Among the new interns are George, forced to repeat his internship after failing his exams, and Lexie Grey, Meredith's half-sister. Another two new interns will be introduced in this season premiere. And they'll have their hands full when a three-car accident sends multiple casualties pouring into Seattle Grace. Some of the doctors need to deal with new stressed out interns. A young boy brings his bleeding deer to the hospital in the hope a doctor will save her.
Directed by: Michael Grossman, Rob Corn · Written by: Shonda Rhimes · Starring: Mac Brandt, Gloria Garayua, Candice Afia, Mark Pellegrino

4x02 Love/Addiction
A patient is in the hospital because they fell asleep in a hazardous situation. A patient's home laboratory blew up in an apartment building and the victims flood the hospital. Alex investigates the cause of the incident by talking to a really old guy who lived in the building. Jane Burke shows up to deal with what her son left behind. Lexie tries to talk to Meredith. Callie is overwhelmed by her new position while Bailey is searching for things to do.
Directed by: James Frawley · Written by: Debora Cahn · Starring: Diahann Carroll, Moe Irvin, Mark Saul, Ray Ford

4x03 Let the Truth Sting
The doctors meet the world's oldest intern. Marcy brings in her son Henry because she finds his change in behavior suspicious. A patient named Connie may lose her vocal chords unless Mark and Richard can perform a radical new surgery. George impresses the other interns at work but at home he is trying to deal with his guilt about having sex with Izzie.
Directed by: Daniel Minahan · Written by: Mark Wilding · Starring: Gloria Garayua, Moe Irvin, Mark Saul, Ray Ford

4x04 The Heart of the Matter
A face familiar to one of the year-twos shows up and dredges up issues that were never really dealt with. A teen soccer player needs counseling because of his father and surgery for an injury he sustained while playing the game. Another patient's, named Courtney, finds out that her cancer is back.
Directed by: Randall Zisk · Written by: Allan Heinberg · Starring: Loretta Devine, Ron Melendez, Jeremy Rabb, Maile Flanagan

4x05 Haunt You Every Day
It's Halloween at Seattle Grace! There may be jokes, pranks, and/or scare tactics. Some of the women form a club based on an experience they all share. A man volunteers for what most of the doctors believe is an unnecessary surgery. One of the patients is in the hospital because they tried to carve a pumpkin in an unconventional manner.
Directed by: Bethany Rooney · Written by: Krista Vernoff · Starring: Brooke Smith, Dylan Minnette, Ray Ford, Sarah Utterback

4x06 Kung Fu Fighting
A patient comes to the ER with a dream and a condition which may prevent him form realizing it. Two patients are competing to win something big. One of them convinces an intern to take their place.
Directed by: Tom Verica · Written by: Stacy McKee · Starring: Brooke Smith, Amanda Loncar, Steve Sandvoss, Tommy Dewey

4x07 Physical Attraction, Chemical Reaction
Izzie and George's new-founded relationship results in them having bad sex. Callie's Chief Resident position is taken away from her, and Bailey is the humble replacement. Meredith can barely handle it with Lexie anymore.
Directing: Jeff Melman · Writing: Joan Rater · Starring: Brooke Smith, Jeff Perry, David Burke, Mark Saul

4x08 Forever Young
There has been a bus crash and the patients are in the ER. Meredith and Derek's relationship gets more complicated when he dates a fellow doctor. Meredith's dad goes to visit her at the hospital.
Directed by: Rob Corn, Tom Verica · Written by: Mark Wilding · Starring: Brooke Smith, Jeff Perry, Mark Saul, Ray Ford

4x09 Crash Into Me (1)
An ambulance crash endangers the lives of the paramedics involved, as Meredith and the Chief work on-site to save them, Bailey treats a patient who refuses her help, and Ava returns for Alex and meets his other girlfriend in the process.
Directed by: Michael Grossman · Written by: Krista Vernoff, Shonda Rhimes · Starring: Brooke Smith, Cress Williams, Theo Rossi, Mark Saul

4x10 Crash Into Me (2) Mid-Season Finale
Meredith works furiously to save a paramedic trapped in an ambulance; Lexie holds the life of a patient in her hands; Derek must rely on a nurse to save a patient; Bailey struggles to balance her personal life with her work.
Directing: Jessica Yu · Writing: Krista Vernoff, Shonda Rhimes · Starring: Brooke Smith, Cress Williams, Theo Rossi, Patricia Bethune

4x11 Lay Your Hands on Me
George has a surprise visitor. Bailey's family is falling apart. Derek sorts through what kissing Rose means. Meredith discovers something that doesn't inspire hope or happiness in her. Alex treats a faith healer.
Directed by: John Terlesky · Written by: Allan Heinberg · Starring: Brooke Smith, Cress Williams, Debra Monk, Lauren Stamile

4x12 Where The Wild Things Are
Time has passed but not much has changed. Sexual angst still runs rampant in the halls of Seattle Grace. Derek and Rose have been dating and Meredith has noticed the activities of her current off-again ex-boyfriend. The doctor's are in the midst of a competition.
Directing: Rob Corn · Writing: Zoanne Clack · Starring: Brooke Smith, Clea DuVall, Amy Madigan, Lauren Stamile

4x13 Piece of My Heart
Addison visits Seattle Grace because they need skills that only she has. Rebecca/Ava returns with news for Alex. Meredith and Derek's clinical trial experiences one or two developments.
Directing: Mark Tinker · Writing: Stacy McKee · Starring: Kate Walsh, Brooke Smith, Clea DuVall, Gloria Garayua

4x14 The Becoming
The clinical trial continues to make progress. The anti-McSteamy club creates new initiatives but that isn't enough to stop one woman from spending time with him. Christina is affected by Burke's career developments.
Directed by: Julie Anne Robinson · Written by: Joan Rater · Starring: Brooke Smith, Loretta Devine, Moe Irvin, Amy Madigan

4x15 Losing My Mind
Dr. Wyatt refuses to let Meredith give up on therapy. Alex learns something else about Rebecca. The Chief wants Erica to perform a daring surgery. Christina continues to act strangely.
Directed by: James Frawley · Written by: Debora Cahn · Starring: Brooke Smith, Cress Williams, Amy Madigan, Lauren Stamile

4x16 Freedom Season Finale
A couple undergoes surgery. Derek and Meredith's clinical trial gets a second shot from a new patient. Izzie helps Alex. McSteamy hooks up with someone.
Directing: Rob Corn · Writing: Shonda Rhimes · Starring: Brooke Smith, Jurnee Smollett-Bell, Loretta Devine, Amy Madigan
Season 4 Cast
Ellen PompeoMeredith Grey16 episodes
Chandra WilsonMiranda Bailey16 episodes
Sara RamirezCallie Torres16 episodes
Mark SaulSteve7 episodes
Ray FordParamedic Ray6 episodes
Molly KidderIntern Megan6 episodes
Joe WilliamsonIntern Pierce6 episodes
Joy OsmanskiIntern Lucy6 episodes
Amy MadiganKatharine Wyatt5 episodes
Candice AfiaIntern Laura5 episodes
Amrapali AmbegaokarIntern Dani5 episodes
Cress WilliamsTucker Jones4 episodes
Gloria GarayuaIntern Graciella4 episodesAll Seasons
Season 12005 · 9 ep. · ★ 7.8
Season 22005 · 27 ep. · ★ 8.5
Season 32006 · 24 ep. · ★ 8.4
Season 52008 · 24 ep. · ★ 8.3
Season 62009 · 22 ep. · ★ 8.2
Season 72010 · 22 ep. · ★ 7.8
Season 82011 · 23 ep. · ★ 8.1
Season 92012 · 24 ep. · ★ 8.0
Season 102013 · 24 ep. · ★ 8.0
Season 112014 · 24 ep. · ★ 8.1
Season 122015 · 24 ep. · ★ 8.2
Season 132016 · 24 ep. · ★ 7.8
Season 142017 · 24 ep. · ★ 8.2
Season 152018 · 25 ep. · ★ 8.5
Season 162019 · 21 ep. · ★ 8.2
Season 172020 · 17 ep. · ★ 8.3
Season 182021 · 20 ep. · ★ 8.4
Season 192022 · 20 ep. · ★ 8.3
Season 202024 · 10 ep. · ★ 8.5
Season 212024 · 18 ep. · ★ 8.2
Season 222025 · 18 ep. · ★ 8.1
Season 232026 · 6 ep. · ★ 9.3Where to Watch Season 4 of Grey's Anatomy
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Frequently Asked Questions
How many episodes does Season 4 of Grey's Anatomy have?
Season 4 of Grey's Anatomy has 16 episodes.
When Did Season 4 of Grey's Anatomy Premiere?
Premiered on September 27, 2007.
Where to Watch Season 4 of Grey's Anatomy?
In Spain, on Disney Plus.
What is the best episode of Season 4?
According to the TMDB audience rating, episode 4x09, "Crash Into Me (1)", with a 8.4.

























