Jackson Avery is an attending plastic surgeon and ENT at Grey Sloan Memorial Hospital who was one of the staff members who joinedfrom Mercy West Medical Center after the merger. As of season 10 he is part of the Harper Avery Foundation. He is also a member of the board and the defacto board chairman. He came up with the name for Grey Sloan Memorial Hospital after the death of Lexie Grey and Mark Sloan. Jackson is married to April Kepner, with whom he's expecting a child.
Jackson is the grandson of Dr. Harper Avery, one of the most famous surgeons in the country and the namesake of the prestigious Harper Avery Award. He grew up hearing about the nobility of being a surgeon at his grandfather's dinner table, which inspired him to become a surgeon. His family never pushed him academically, so he pushed himself; he didn't even tell his family that he had taken the MCAT until he aced it. Not much is known about Jackson’s life before he became a surgeon, but it is known that although he looks up to his grandfather, he detests being compared to him. He also refuses to use his name in order to progress in his career. Jackson is no doubt a “mama’s boy” and is extremely protective of the people he cares about – specifically April Kepner, whom he claims is his only remaining friend in Seattle.
During the shooting at the hospital, Jackson and Cristina performed emergency surgery on Derek Shepherd, saving his life. At one point during the surgery, grieving widower, Gary Clark held them up at gunpoint. Jackson saved everyone’s lives by making it seem as though Derek had flat lined. This pleased Gary Clark and he was then convinced to leave them in peace.
On the day of April's wedding, Jackson runs into April at the hospital as she is looking for Meredith and Cristina and asks him if he is coming to her wedding. After realizing that she really wants him there, Jackson decides to go. When Jackson and Stephanie arrive at April's wedding, Jackson picks up a box that contains a butterfly and as it flies into the air, Jackson remembers what Apriltold him about wanting butterflies at her wedding, but brushes it off. As April is walking down the aisle, Jackson smiles at the beautiful bride. When the priest asks everyone if they agree to support Matthew and April's marriage, April locks eyes with Jackson as he begins to realize what is really happening. Everyone says yes except Jackson. He then turns to Stephanie and says "I'm sorry" then stands up then sits back down. Finally Jackson takes a deep breath and stands up again and says, "I love you. I always have. I love everything about you - even the things that I don't like, I love. And I want you with me. I love you and I think that you love me, too. Do you?" Matthew is visibly upset, Jackson looks scared and vulnerable, and April looks like she is in shock and takes a deep breath.
As a child, Jackson often listened to stories about his grandfather, Harper Avery, and ever since then, he has always wanted to be a surgeon. Jackson is very forward, often saying what's on his mind even if it hurts someone's feelings. He is also intelligent, kind and very protective of the people he cares about like his mother, Catherine Avery, and his best friend and later wife, April Kepner.
When Jackson first arrived at Seattle Grace Mercy West Hospital, he developed a small crush on Cristina Yang and kissed her while inebriated at a party. However, Cristina did not return any intimate feelings towards him. Instead, she broke the kiss immediately and told him that it never happened
Jackson and Lexie Grey develop a relationship after Mark Sloan bribes Jackson with surgery in exchange for information on how Lexie is doing. Jackson does get the information he needs, but doesn’t tell Mark about it because he’s developed feelings for Lexie and wants to respect her privacy. Mark does, however, still allow Jackson to perform the surgery he was promised. Lexie and Jackson do become a couple, but Jackson later breaks it off when he realizes Lexie is still in love with Mark
When Catherine Avery came to SGMWH for a bladder transplant, she brought along Mara Keaton, a Urology fellow at Mass Gen. Catherine asked Jackson to tour Mara around the hospital, which made him suspect that his mother was pushing him into a relationship with her. Mara felt that Catherine could be really annoying also. He encouraged Mara to stand up to his mother. Mara did stand up to her, but Catherine was not mad at Mara. Jackson was pleased with what Mara had done and after that, he slept with her in the on-call room.
On the night before his medical board exams, Jackson and April Kepner engage in a bar fight and later have sex. Jackson was leery at first, due to the fact that April was a virgin, but she promised him it was okay and she wanted to do it. Later, however, April told Jackson that the reason she had been a virgin so long is because she was celibate. She was completely heart broken and distraught at what happened between them, which caused Jackson to feel extremely guilty. They had another sexual encounter in the men’s room during a break from their medical board exams, which helped both Jackson and April calm down. However, it was too late for April and she failed. When she was let go from the hospital, Jackson comforted her, but April perceived it as him pitying her and told him to leave her alone.
When Jackson accepted the job at Tulane, he told April he felt sick at the thought of leaving her behind. He postponed his move, however, when he heard about the plane crash. When Mark Sloan showed signs of recovery, April told Jackson the only reason she stayed was to make sure Mark was okay, and now that he was, she would be leaving for home. Jackson asked her to wait for him at Joe's, because he couldn't talk then he had something to do, get Sophia for a Mark, and she accepts. When Jackson shows up at Joe's he looks for April to find she's not there. April is seen leaving on an airplane.
When April was rehired by Owen Hunt, she told Jackson she was in the process of revirginizing. Although Jackson didn't approve because he felt she was trying to pretend they never happened, he promised to help in any way that he could. However, they couldn't resist each other and continued their relationship until finally breaking it off. The two went their separate ways, which culminated in them seeing other people.
During a massive storm near the hospital, a bus flipped and the doctors had to rush in and evacuate as many people as possible. The doctors believed they got to everyone, but Jackson stayed behind because he noticed a small pink shoe. When Aprilnoticed Jackson wasn't with them, she began to panic and rushed back towards the bus as it lay there ablaze. Suddenly, the bus exploded. Thinking Jackson was in the explosion, April became hysterical. When he emerged from the fire with a small child, she ran to hug him, but was stopped by Matthew.
When Jackson was being treated by Callie for his injuries, April walked in furious, screaming at him for almost dying, but was quickly removed. Thinking she had lost Jackson made her realize her true feelings for him. When everyone calmed down, she went back in to see him. She told him that she wanted him, which Jackson quickly rebuffed by telling her she was marrying Matthew soon. April then told Jackson to give her a reason not to.
Although Jackson still had feelings for April, he did not give her a reason to leave Matthew. Instead, he exploded at April, telling her the only reason she wanted him was because he had moved on. This put a small strain on their friendship, but they still spoke occasionally. April even admitted that Jackson set her straight and she was happy to be getting married to Matthew.
When the time came for April to send out wedding invitations, she purposely left out Jackson's name. She said she did this because she feared it would upset Matthew. Instead, she invited Stephanie, hoping she would bring Jackson as her guest. After speaking with Matthew and April, Jackson realizes that April truly wants him to be at her wedding so he decides to go and they share a brief hug, re-establishing their friendship.
During the ceremony, however, Jackson apologized to Stephanie before telling April that he loves her and that he always has loved her in front of the entire
crowd. It is later revealed that April chose Jackson and decided to marry him.
After working on Jill Kasliner, Jackson and April fought about how they would raise their children.
April walked out and ended up staying with Arizona and Callie for a few days. She came back to retrieve her iPod and told Jackson that they couldn't table the discussion about how they'll raise their children any longer because she's pregnant.
Later April and Jackson are seen getting an ultrasound. When the doctor asks if they're planning on terminating the pregnancy. They both quickly respond "No". April looks shocked that he said no. April says "you don't want to get rid of it." He replies "Of course not".
The next time they have an ultrasound April wants to send a picture to her mother, but she and Jackson have decided not to tell anyone until her first her first trimester is over. Later that day Jackson was talking to a patient who asks him if he has any children he says no but his wife is expecting. Stephanie being his resident overheard this. At the end of the day Jackson tells April that she can send a photo to her mother if she wanted to.
April who is now a lot further along in her pregnancy goes to see Jacksonand finds him with her mother. Her mother asks April to take the day off and go shopping with April. April informs her that she is really busy and can't leave. Jackson then agrees to go in April's place. When April gets home she sees that her mom and Jackson bought a bunch of supplies for the baby. April starts yelling at her mom, and she leaves the room. April comes back again and see's that Jackson has built a chair for April and the baby. Jackson then says that she acted poorly to her mom who was only trying to help. April agrees and asks to sit down. Jackson gets up and helps her sit down and she asks if he built the chair and he says yes twice, and jokes about the directions. April then tells him that he is going to make a great daddy. He helps her get up and they kiss.
April goes to get another ultrasound, and finds that Stephanie is giving it. She says that she is interested in OB. April sas ok, and that she and Jackson don't want to the sex of the baby. Stephanie tells April that "he is sitting like a little Buddha." April said that he does that and then she freaks out because she told her the sex. Jackson then walks in and seems confused to see Stephanie.
April pretends the recent conversation didn't happen and tells Jackson that baby is sitting like Buddha just like last time, which catches Stephanie's attention. She starts looking through April's scans. Jackson leaves and Stephanie tells April that she's not done yet and April says yes we are.
Stephanie takes her scans to Robbins, who agrees that somethings wrong and tell her not to tell April and Jackson. She and Robbins take the scans to Herman who says it's a type of bone disease. Stephanie later ask Herman if there is nothing they can do. The elevator opens and Jackson is there. Herman says no that the child would have a short,painful life, but he's so cute sitting like a little Buddha. Jackson looks up, Herman leaves and Stephanie turns around and Jackson asks "What was that about?"
Jackson started a relationship with the new intern, Stephanie, after hooking up in a car during Bailey's wedding, but he claimed it was purely sexual and only for fun. However, Stephanie seemed to think their relationship was more serious than that, stating that she would follow him if he were to find a job at a different hospital.
Jackson introduced Stephanie to his mother and the couple became more serious than they were.
Stephanie confronted Jackson about any residual feelings between him and April, which he denied.
Jackson indirectly broke up with Stephanie at April's wedding, telling her, "I'm sorry," before standing up, interrupting April's wedding, and professing his love for her.
During Jackson's relationship with Lexie, he and Mark Sloan developed a mentor/student relationship, which continues to grow even after Lexie and Jackson split. Mark often referred to them as the "Plastics Posse" - much to Jackson's embarrassment. They later became inseparable and were often teased about their bromance by the other doctors. After Mark's tragic death, Jackson promised him that the "Plastics Posse" would live on.
Jackson was initially a surgical resident at Mercy West Medical Center, until the merger with Seattle Grace. Upon his transfer to Seattle Grace, Jackson has rotated over the services of several surgical departments, such as neuro, cardiothoracics, and plastics. Jackson took a shine to Plastics and that is now his specialty.
Jackson is one of four doctors to pass their medical board exams, and he is currently employed at Seattle Grace Mercy West Hospital following the death of Mark Sloan. When the hospital was reorganized as Grey Sloan Memorial Hospital and instituted a new board, Jackson became the de facto board chairman as he is the board representative for the Harper Avery Foundation, the majority shareholder of the hospital.
(to April) I love you, April. I always have. I love everything about you. Even the things I don't like, I love. And I want you with me. I love you, and I think that you love me too. Do you?
In my family, I'm the pretty one. My eyes and my smile, my body. I mean, you should see me without a shirt on. It's kinda ridiculous. But my family is smart, driven, and crazy over-achievers. And they look like they're smart. They don't look like me, which has its perks. Except that my family treated me like i was pretty. They expected nothing from me, ever. Never pushed me, never thought to. So I had to push myself. Hard.
Invasion · I Saw What I Saw · Give Peace a Chance · Invest in Love · New History · Holidaze · I Like You So Much Better When You're Naked · State of Love and Trust ·Valentine's Day Massacre · The Time Warp · Perfect Little Accident · Push · Suicide is Painless · Sympathy for the Parents · Hook, Line and Sinner · How Insensitive ·Shiny Happy People · Sanctuary · Death and All His Friends
Grey's Anatomy, Season 7
With You I'm Born Again · Shock to the System · Superfreak · Can't Fight Biology · Almost Grown · These Arms of Mine · That's Me Trying · Something's Gotta Give ·Slow Night, So Long · Adrift and at Peace · Disarm · Start Me Up · Don't Deceive Me (Please Don't Go) · P.Y.T. (Pretty Young Thing) · Golden Hour · Not Responsible ·This is How We Do It · Song Beneath the Song · It's a Long Way Back · White Wedding · I Will Survive · Unaccompanied Minor
Grey's Anatomy, Season 8
Free Falling · She's Gone · Take the Lead · What is It About Men · Love, Loss and Legacy · Poker Face · Put Me In, Coach · Heart-Shaped Box · Dark Was the Night ·Suddenly · This Magic Moment · Hope for the Hopeless · If/Then · All You Need is Love · Have You Seen Me Lately? · If Only You Were Lonely · One Step Too Far ·The Lion Sleeps Tonight · Support System · The Girl with No Name · Moment of Truth · Let the Bad Times Roll · Migration · Flight
Grey's Anatomy, Season 9
Going, Going, Gone · Remember the Time · Love the One You're With · I Saw Her Standing There · Beautiful Doom · Second Opinion · I Was Made for Lovin' You ·Love Turns You Upside Down · Run, Baby, Run · Things We Said Today · The End is the Beginning is the End · Walking on a Dream · Bad Blood · The Face of Change· Hard Bargain · This is Why We Fight · Transplant Wasteland · Idle Hands · Can't Fight This Feeling · She's Killing Me · Sleeping Monster · Do You Believe in Magic ·Readiness is All · Perfect Storm
Grey's Anatomy, Season 10
Seal Our Fate · I Want You With Me · Everybody's Crying Mercy · Puttin' on the Ritz · I Bet It Stung · Thriller · Two Against One · Sorry Seems to Be the Hardest Word ·Somebody That I Used to Know · Man on the Moon · Get Up, Stand Up · Take It Back · You've Got to Hide Your Love Away · Throwing it All Away · We Gotta Get Out of This Place · Do You Know? · You Be Illin' · I'm Winning · Go It Alone · Change of Heart · We Are Never Ever Getting Back Together · Everything I Try to Do, Nothing Seems to Turn Out Right · Fear (of the Unknown)
Grey's Anatomy, Season 11
I Must Have Lost It on the Wind · Puzzle With a Piece Missing · Got to Be Real · Only Mama Knows · Bend & Break · Don't Let's Start · Could We Start Again, Please? ·Risk · Where Do We Go From Here · The Bed's Too Big Without You · All I Could Do Was Cry · The Great Pretender