Tonight, through the miracle of modern medicine, the show comes roaring back with a plot that includes the, er, trauma of Seattle Grace Hospital being downgraded from the number two facility in the state to the number 12.
The Grey's Anatomy writers acknowledge last season's ratings decline by offering a parallel plot that finds Seattle Grace's ranking as a teaching hospital suffering in tonight's entertaining and ridiculous-in-the-regular-Grey's-ways two-hour season premiere.
At some point, though, a program this reliant on workplace sexcapades begins to run out of combinations, and the writers haven't done much more to address the problem than pad on new layers of interns (starting with Meredith's younger sister, played by Chyler Leigh) to further confound things.
You expect the Big Moment on Grey's Anatomy, and the usual array of melodramatic developments in Thursday's two-hour season premiere. On the plus side, at least this episode isn't as padded and maddening as past two-hour Grey's episodes have been.
What's bad for Seattle Grace isn't necessarily bad for Grey's, which needs all the medical drama it can muster to distract its doctors from their (mostly) dreary love lives. Guest stars don't necessarily hurt, either.
ABC's promise, a bold one, is "A New Beginning." That may be overstating what we see tonight, but at least we do get a brand-new guy for Sandra Oh's Cristina Yang to kiss. That's a good start. But as with any veteran show, some of the old mix-and-match gets redundant.