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.

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.

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.

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.

Pete and Violet prepare for their wedding day; things take a surprising turn with Addison and Sam; despite disagreements, the doctors come together to mourn the loss of Dell.