Something Old, Something New is the twentieth episode of the fourth season and the 74th overall episode of Private Practice.

Short SummaryEdit

The day has arrived for Cooper and Charlotte to marry, but not everyone is in a celebratory mood, leading the couple to second-guess their wedding plans. Meanwhile, the doctors of Oceanside Wellness are torn between the future of their practice and protecting one of their own, as an investigator is sent to question them about Violet's breach of confidentiality case.

Full SummaryEdit

Episode in detail.


Main CastEdit

  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Sheldon Wallace
  • Amelia Shepherd
  • Sam Bennett
  • Violet Turner
  • Augusta King
  • Marion
  • Gabriel Fife
  • Mr. Freedman
  • Mrs. Freedman
  • Neal Chaplin
  • Richard Huvane
  • First Class Passengers
  • Las Vegas Minister

Guest StarsEdit


  • Lynne Alana Delaney as First Class Passenger #1
  • Ruben Roberte Gomez as First Class Passenger #2
  • Timothy James Driscoll as Las Vegas Minister

Medical NotesEdit


  • Diagnosis:
    • Diabetes
    • Depression
  • Treatment:
    • Insulin
    • Residential care

Marion was seen by Naomi, who said her blood sugar was high and asked if she'd been taking her insulin. She seemed not like herself. Gabriel suggested a brain surgery that could treat her depression. But Marion refused it. Naomi sent Sheldon to talk to her. Sheldon believed Marion needed talk therapy. They thought her grief stemmed from the loss of her friend Walter. But Gabriel said she thrived after the loss of her husband, so it should be possible for her to get over the loss of Walter. He went to see her and she said that she loved Walter, but she felt like she was betraying her late husband, Jerome, so she never told him. Gabriel said he had to know that she loved him.


Song Performer Scene
"Heart & Arrow" Matt Duncan
  • Gabriel leaves the room.
  • Charlotte shows Cooper the dress.
  • Charlotte tells Cooper his parents were rude and they start arguing.
"Violin" Amos Lee
  • Addison tells Sam about her meeting. Sam is upset because Addison told Naomi about them.
  • Sam thinks they might not be able to be friends.
  • Amelia talks to Charlotte about Cooper's parents not liking her.
  • The medical board comes to take medical files.
  • The doctors debate what to do about the situation.
"The Winter From Her Leaving" William Fitzsimmons
  • Pete looks at Violet in shock.
  • Amelia is upset that no one's enjoying the party she planned.
  • Pete and Addison argue over Violet.
  • Naomi kisses Gabriel.
  • Sheldon talks to Charlotte's mom.
  • Amelia tells Cooper's parents they're wrong about Charlotte.
  • Cooper wants to sit down with their parents and talk. Then they see their parents talking without them.
  • The three parents tell them they don't want them to get married.
"Love is You" Chrisette Michele
  • Cooper talks to Charlotte.
  • Charlotte and Cooper make out on a plane.
  • They get married in Las Vegas.
  • Back at the reception, everyone puzzles over what happened.
  • Violet talks to the others about her meeting with the medical board.
  • A waiter brings glass of champagne. Amelia asks for ginger ale, but when she tastes it, she knows it's not ginger ale and spits it out.
  • Naomi dances with Gabriel as Addison watches.

Notes and TriviaEdit

Grey's Anatomy 7x20 & Private Practice 4x20 WEDDING EVENT Promo

Grey's Anatomy 7x20 & Private Practice 4x20 WEDDING EVENT Promo

  • This episode scored 6.89 million viewers.
  • This episode's title originated from the traditional rhyme for what a bride should wear at her wedding for good luck. 


Episode StillsEdit


Amelia: (to Charlotte) Are you getting pre-wedding jitters? You gonna choke Cooper at the altar? Because I will drive the getaway vehicle, no questions asked.

See AlsoEdit

A complete overview of this episode's crew can be found here.