Grey’s Anatomy season 19 spoilers follow.

Meredith Grey is now working alongside her late husband Derek Shepherd’s nephew, as confirmed in season 19’s premiere.

In the new season opener of Grey’s Anatomy, which premiered on US screens on Thursday (October 6), Grey Sloan Memorial Hospital’s newest batch of interns were placed under the supervision of Meredith, including Lucas (played by Niko Terho).

Lucas assists the team with transplant surgery in the episode, and says one of Derek’s most famous lines from a previous episode – “it’s a beautiful day to save lives”.

“He worshipped Derek,” Amelia Shepherd (Derek’s younger sister) told Meredith. “He’s you! He’s got the spark. He’s got the drive. He just needs the chance…”

Explaining what this twist brings to the long-running medical drama, Grey’s Anatomy showrunner Krista Vernoff confirmed in an interview with Variety that Lucas is the son of one of Derek’s many sisters.

“That was an early idea of mine as I was looking at how to connect this class to the original fabric of the series without repeating those characters, or retreading story,” she added.

“Derek had all these sisters, who had all these kids – I remember writing about them in the early years of the show.

“With Addison [Derek’s ex-wife], I remember writing a conversation where they were talking about Christmas gifts for all of the sisters,” she added.

According to Vernoff, who has also written for Law & Order and Shameless, Lucas has similar traits to his aunt and uncle.

“Lucas was born of the idea of he’s a little bit of Derek, and he’s a little bit of Amelia, but we didn’t meet Derek and Amelia when they were surgical interns!” she added.

“And this gives us that connection, but brand-new territory.”

Will it be smooth sailing for him and Meredith on the ward?


By Ivaylo Angelov

Ivaylo Angelov born in Bulgaria, Varna graduated School Geo Milev is Tvserieswelove's Soaps Editor and oversees all of the section's news, features, spoilers and interviews.