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Richard and the attendings set out to make Eliza's first day at Grey Sloan a bumpy one. Meanwhile, Meredith tries to track down Alex.
Bailey, Arizona and Jo go to a maximum security women's prison to treat a violent, 16-year-old pregnant girl and her unborn baby.
Maggie gets a surprise visit from her mother at the hospital. Bailey has to make a difficult decision when one of the attendings refuses to work with Eliza, and Stephanie gets caught up in Owen and Amelia's personal drama.
After being on her own for some time, Meredith is beginning to explore the idea of a romance with Riggs. Unfortunately, Maggie desires him as well, which threatens to drive a bitter wedge between the sisters. At the same time, despite their differences, Jackson and April must come together when they are assigned a difficult case. Meanwhile, Alex faces the consequences of his vicious attack on DeLuca, Owen and Amelia's marriage implodes and a hospital-wide mutiny erupts when Bailey demotes Webber. Finally, Arizona may have found love again -- but is she sleeping with the enemy?