In 1967, surgeons in South Africa performed the first successful heart transplant. The following year, there were 100 heart transplants worldwide. The problem was the patients kept dying. So the following year, transplants fell to 18. Kinda seems like people were a little too eager to celebrate. Surgeons are reluctant to celebrate. Even in succes, we obsess over what could have been better. And don't get me wrong, that self reflection is important. We only get better when we admit our shortcomings, acknowledge our limits. But there are so many moments along the way to celebrate. Some of those moments are bigger than others, and you really don't wanna miss those moments. Because believe me when I say, the bad times are gonna find you all on their own.

We Didn't Start the Fire is the fifteenth episode of the fifteenth season and the 332nd overall episode of Grey's Anatomy.

Short SummaryEdit

When Jackson throws a party to celebrate Catherine’s surgery and those who worked to save her, literally nothing goes as planned. Meanwhile, Helen pays Alex and Jo a surprise visit.

Full SummaryEdit


  • Meredith Grey
  • Alex Karev
  • Miranda Bailey
  • Richard Webber
  • Owen Hunt
  • Jackson Avery
  • Amelia Shepherd
  • Jo Karev
  • Maggie Pierce
  • Andrew DeLuca
  • Teddy Altman
  • Catherine Fox
  • Ben Warren
  • Thomas Koracick
  • Helen Karev
  • John Dickinson
  • Carina DeLuca
  • Betty Nelson
  • Vincenzo DeLuca
  • Taryn Helm
  • Carol Dickinson
  • Bokhee

Main CastEdit

Guest StarsEdit


Medical NotesEdit

There are no patients treated on screen in this episode.


Song Performer Scene
"Need (Ooh Lala)" The Phantoms
"Got It In You (Acoustic)" Banners
"Steady Now" Nilu

Notes and TriviaEdit

Grey's Anatomy 15x15 Promo "We Didn’t Start the Fire" (HD) Season 15 Episode 15 Promo

Grey's Anatomy 15x15 Promo "We Didn’t Start the Fire" (HD) Season 15 Episode 15 Promo

  • This episode's title originated from the song We Didn't Start the Fire, originally sung by Billy Joel.
  • This episode scored 6.99 million viewers.
  • This episode makes Grey’s Anatomy the longest-running American primetime medical drama, officially surpassing E.R., which ran for 331 episodes.
  • This episode contains no medical cases on screen, although Jo mentions some patients of hers.


Episode StillsEdit

Behind the ScenesEdit


See AlsoEdit

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