The number in the "No. in series" column refers to the episode's number within the overall series, whereas the number in the "No. in season" column refers to the episode's number within this particular season. "U.S. viewers in millions" refers to the number of Americans in millions who watched the episodes live. The fourth season's episodes are altogether 740 minutes in length.
|Title||Directed by||Written by||Original air date||U.S. viewers
|62||1||"A Change Is Gonna Come"||Rob Corn||Shonda Rhimes||September 27, 2007 (2007-09-27)||20.93|
|Having just returned from her honeymoon with Meredith, Cristina searches for Burke, but he is nowhere to be found. Meredith, Cristina, Izzie and Alex spend their first day as residents with their own groups of interns. Among the interns are George, repeating his intern year after failing his exams, as is Lexie Grey, Meredith's half-sister whom she has never met. Now that Derek's relationship with Meredith has reached an emotional impasse, he looks to his fellow doctors for friendship; Bailey wrestles with her place within the hospital now that her former interns report to new Chief Resident Callie; and Richard resumes his position as Chief of Surgery.|
|63||2||"Love/Addiction"||James Frawley||Debora Cahn||October 4, 2007 (2007-10-04)||18.51|
|An apartment explosion inundates the ER with patients, and Alex jeopardizes a family when he realizes the cause of the accident. Meanwhile, Meredith intrigues Derek with an "S&M" approach on their relationship, and Derek gets the wrong idea. Cristina is frustrated when Mama Burke returns and she wants all of Burke's old things.|
|64||3||"Let the Truth Sting"||Dan Minahan||Mark Wilding||October 11, 2007 (2007-10-11)||19.04|
|When the "really old guy" awakens from his coma, Izzie becomes aggravated with him. Callie and George find themselves both very tense in their hotel room, while Meredith and Lexie continue to have a rocky relationship.|
|65||4||"The Heart of the Matter"||Randy Zisk||Allan Heinberg||October 18, 2007 (2007-10-18)||18.04|
|Meredith is seriously annoyed by Lexie's advances, when she desperately tries to keep in touch with her sister and to get to know her. Derek and Meredith's relationship just might be over, and Callie's marriage to George is put to the test.|
|66||5||"Haunt You Every Day"||Bethany Rooney||Krista Vernoff||October 25, 2007 (2007-10-25)||18.17|
|A nightmare brings Meredith to remove her mother's ashes from her closet. She ends up putting her mother at rest in the sink at the hospital. Meredith, also, forms an alliance with a little boy to grant him the ears he needs via pro-bono surgery. A busy day in the ER results in a man who is convinced that his foot isn't his to remove it with a chainsaw from a jack-o-lantern competition.|
|67||6||"Kung Fu Fighting"||Tom Verica||Stacy McKee||November 1, 2007 (2007-11-01)||19.31|
|The Chief organizes a gentleman's evening, leaving Derek and Sloan dumbfounded, and curious to determine what it really is. Two soon-to-be brides fight over a dress from a bridal store competition. Callie searches for a way to torture George. Dr. Hahn excludes Cristina from cardio service, driving Cristina insane and desperate.|
|68||7||"Physical Attraction, Chemical Reaction"||Jeff Melman||Tony Phelan & Joan Rater||November 8, 2007 (2007-11-08)||19.50|
|Izzie and George's new-founded relationship results in them having bad sex, and Callie is stressed out from her Chief Resident position and impending divorce. Cristina confronts the Chief about her lack of cardio-related surgeries. Meredith can barely handle it with Lexie anymore.|
|69||8||"Forever Young"||Rob Corn||Mark Wilding||November 15, 2007 (2007-11-15)||19.61|
|A tense confrontation between Lexie and Meredith brings Meredith to feel guilty, and Lexie sleeps with Alex. Callie's Chief Resident position is taken away from her, and Bailey is the humble replacement. A bus crash leaves Bailey emotional, especially when an old flame arrives in the ER.|
|70||9||"Crash Into Me (Part 1)"||Michael Grossman||Shonda Rhimes & Krista Vernoff||November 22, 2007 (2007-11-22)||14.11|
|An ambulance crash makes the day hectic at Seattle Grace, when Meredith and The Chief have to comfort the paramedics trapped inside of the ambulance. A wounded paramedic creates an uproar in the ER for his tattoo, leaving Bailey offended, and an unfortunate circumstance brings Derek to meet a nurse, Rose, that appears to be interested in him.|
|71||10||"Crash Into Me (Part 2)"||Jessica Yu||Shonda Rhimes & Krista Vernoff||December 6, 2007 (2007-12-06)||17.78|
|Bailey's notorious alias is promised by the doctors at Seattle Grace to never be used after the wounded paramedic's swastika tattoo, and the death of a worker at the hospital leaves his wife to be very emotional. Lexie, who has become attached to a patient, learns that life is not easy and Meredith is depressed to see that Derek has been moving on.|
|72||11||"Lay Your Hands on Me"||John Terlesky||Allan Heinberg||January 10, 2008 (2008-01-10)||17.68|
|When Bailey's son, Tuck, is at Seattle Grace following a bookshelf falling on him, she starts to feel that she might be a bad mother. The return of George's mother brings Callie and George together once more, and his relationship with Izzie has failed. A healer with "powers" at Seattle Grace makes the doctors question science and faith.|
|73||12||"Where the Wild Things Are"||Rob Corn||Zoanne Clack||April 24, 2008 (2008-04-24)||16.37|
|Six weeks have passed since Derek started dating Rose, and the new residents are competing in a surgical contest, which Meredith wins and has control to take the other residents' surgeries. George and Lexie move into their new apartment and Lexie begins stealing stuff from the hospital to furnish it. Callie and Erica continue their friendship.|
|74||13||"Piece of My Heart"||Mark Tinker||Stacy McKee||May 1, 2008 (2008-05-01)||15.31|
|Addison Montgomery visits Seattle Grace from California and she is recapped by the doctors on what has happened, and she suspects that Callie might be having feelings for Erica. Mark becomes a bit too pompous when he feels like he is God.|
|75||14||"The Becoming"||Julie Anne Robinson||Tony Phelan & Joan Rater||May 8, 2008 (2008-05-08)||16.03|
|A "date and tell" policy is instated at Seattle Grace after the nurses object to Mark's trysts, Cristina has to face her feelings for Burke, and Meredith and Derek admit a gay veteran soldier into their clinical trial. George is given the title 'Intern to the Chief'.|
|76||15||"Losing My Mind"||James Frawley||Debora Cahn||May 15, 2008 (2008-05-15)||15.55|
|Meredith's therapy leads herself to question her past, as a patient in Derek and Meredith's clinical trial has an emotional outburst. Callie begins to wonder if she is straight or lesbian, and she tries to avoid the topic.|
|77||16||"Freedom (Part 1)"||Rob Corn||Shonda Rhimes||May 22, 2008 (2008-05-22)||18.09|
|A surgical team battles the clock as they try to save a boy encased in cement, Karev's situation with an ever-disintegrating Ava brings back painful memories that interfere with his judgment, Derek and Meredith have one last chance at their clinical trial.|
|78||17||"Freedom (Part 2)"||Rob Corn||Shonda Rhimes||May 22, 2008 (2008-05-22)||18.09|
|Callie confronts her feelings about Erica, Derek and Meredith's relationship is reinstated as the clinical trial comes to a relaxing end. Erica and Callie share an intimate moment, while The Chief will do whatever it takes to get back together with Adele. A boy trapped in cement after a dare has placed his health at risk, leading the doctors at Seattle Grace to sympathize and ease his pains.|
Read more about this topic: The Becoming (episode)
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