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Grey's Anatomy S04E04, The Heart of the MatterS04E04

Grey's Anatomy · Season 4

Grey's Anatomy season 4 episode 4: The Heart of the Matter

Aired 18 October 200743 minRated TV-14

7.9TMDB · 16 votesMark watched

Where to watch Grey's Anatomy Season 4 in Australia

Grey's Anatomy season 4 is streaming in Australia on Disney+ (subscription, listed for the whole show).

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Stream (subscription)

Availability checked 16 November 2026.

What happens in “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.

Episode summary: TMDB.

Before you watch

  • It is episode 4 of 16 of season 4, so watch episodes 1 to 3 first.
  • It runs about 43 minutes.
  • Directed by Randall Zisk, written by Allan Heinberg.
  • TMDB users rate it 7.9 out of 10 (16 votes).

Grey's Anatomy trailer

The official trailer for the series (no preview of this episode has been published).

Grey's Anatomy trailerPlay video: Grey's Anatomy trailer

Cast and crew of this episode

Director
Randall Zisk
Writer
Allan Heinberg
Guest stars
Loretta Devine as Adele WebberRon Melendez as WillJeremy Rabb as ResidentMaile Flanagan as TechGloria Garayua as Intern GraciellaMark Saul as SteveRichard Keith as Intern MitchEdward Herrmann as Norman Shales

Credits: TMDB.

More from Grey's Anatomy Season 4

  1. E01
  2. E02
  3. E03
  4. E04
  5. E05
  6. E06
  7. E07
  8. E08
  9. E09
  10. E10
  11. E11
  12. E12
  13. E13
  14. E14
  15. E15
  16. E16

Every episode of Season 4Grey's Anatomy episode guide

Episode names, air dates, runtimes, stills and ratings: TMDB. Air dates are the first broadcast anywhere; where it streams is our daily Australian check.