April leaves to take a job running a small hospital in Montana with her ex-fiancé-turned-paramedic, Matthew Taylor. Yes, the same Matthew she left at the altar in Season 10. That’s right—she dumps a man on his wedding day, watches his wife die in childbirth, and then marries him years later. Talk about a slow burn with a side of trauma.
The kicker? She also takes her daughter, Harriet, and her ex-husband Jackson Avery gives his blessing. Jackson literally says, “Go be happy in Montana with the cows.” It’s sweet, but also feels like a breakup scene from a Hallmark movie directed by a sad clown.
Sarah Drew, the actress playing April, was let go by Shonda Rhimes to make room for “new stories.” Fans were livid. Like, “cancel your Netflix subscription” livid. But honestly, April’s exit is one of the show’s best—she drives off in a minivan with her new blended family, playing Taylor Swift’s “Shake It Off” on the radio. I’m not joking. Okay, I’m slightly embellishing, but it’s close.
Why Sarah Drew's April Kepner Left Grey's Anatomy Season 14 (& Came
Wait, She Came Back? (Sort Of)
April makes a surprise return in Season 18, Episode 10, because Grey’s Anatomy can’t let anyone leave forever. She shows up at Jackson’s wedding to his new girlfriend, Jo Wilson, looking radiant and clearly over the Seattle drama. She’s now a trauma surgeon with a ministry degree (yes, she became a chaplain), and she gives a speech about God, love, and the power of walking away from toxic hospitals.
Her final appearance is in Season 18, Episode 16, where she helps Jackson deliver a baby in a bathtub. No, that’s not a euphemism—it’s an actual bathtub birth. She leaves again, this time for good, with a wave and a wink. The door is technically left open, but let’s be real: Sarah Drew is too busy being amazing on other shows.
Fun fact: Sarah Drew was initially horrified to be fired, but later said it was the best thing for her career. She now stars in things like Grey’s Anatomy-adjacent Christmas movies where she gets to kiss under mistletoe instead of under a code blue.
Is April Leaving Grey's Anatomy? | POPSUGAR Entertainment