Plot summary
Violet and Pete quit therapy, even though Violet doesn't want to, and Pete believes dating Violet would be the best for them to get their marriage back to what it was; While Sam begins to realize he still feels obligated to help Addison with Henry even though they aren't in a relationship anymore. Violet and Cooper deal with a patient who believes that they were born in the wrong body, and try help the parents deal with what their kid is trying to tell them. While Cooper grows angry at Charlotte because Mason will talk to her and not listen to him, seeing as he is his father; Addison and Pete work with an illegal immigrant who is trying to have her baby born in the United States so he can stay when she's deported.
After realizing what's best, Addison delivers the baby, but when the woman is explaining to Pete about his hospital he built, he decides that he should go back there to help rebuild it. Mason begins talking to Cooper again; While Amelia makes the heart breaking decision of signing the papers, effectively giving her baby's organs to other children when he's born.
Credits
Adapted from Wikipedia contributors, Private Practice season 5. HTML formatting and reference markers removed.