<P> As the end of the fifth year of residency is near, the surgical residents, including Jackson, prepare for their board certifications as they prepare for fellowships they plan on joining . The night before taking the exam, Jackson and the virgin April have sexual intercourse . Though April is confused because she broke the promise she made to Jesus to stay a virgin, the two of them are under stress and they have sex again during their exams . During the exam, Jackson is supported by his mother Catherine (Debbie Allen), who happens to be a tester at the exams . Jackson, Meredith Grey, Cristina Yang, and Alex Karev eventually pass their exam, while April fails . Although Jackson has true feelings for her, she pushes him away because she believes that he feels guilty for having sex with her . In the season eight finale, Jackson reveals to April that he is taking the position at Tulane Medical Center, despite feeling sick for leaving Seattle Grace Mercy West and her behind . As a celebration of the conclusion of their residencies, the former chief of surgery Richard Webber (James Pickens, Jr .) organizes his annual dinner for them . The eighth season ends with Avery, Karev, Kepner, and Webber waiting for Meredith and Yang, who are victims of an aviation accident that kills Lexie and eventually Mark . </P> <P> After the accident, Dr. Avery stays at Seattle Grace and continues his work in plastic surgery . He and Dr. Kepner continue a sexual relationship, although April frets about the indiscretion to her faith until she believes she is pregnant . When told about the baby, Dr. Avery proposes to her and she accepts, promising her the fairytale wedding she has always wanted . As it turns out, the pregnancy was false and the couple break up before announcing the news of their engagement to the rest of the staff . As a means to avoid each other, the two doctors decide to each bring a date to Dr. Bailey's wedding selecting this date for each of them, both of which are interns . At the end of the wedding, Stephanie (Jerrika Hinton) the intern and Jackson have sex in his car, after affirming how their relationship was supposed to be merely professional . Shortly afterwards he tells April he is sleeping with Stephanie and even though she is crushed she thanks him for telling her the truth . It is hinted that Jackson is still in love with April when she turns to him for dating advice and he shows signs of jealousy but they manage to reestablish their friendship . When the hospital faces a financial crisis, Jackson's mom Catherine agrees to invest in the hospital via the Harper Avery foundation on the condition that Dr. Avery become the new chairman . The board (at Jackson's prompting) later renames the hospital Grey Sloan Memorial Hospital . Matthew and April get engaged but at the wedding, Jackson realizes he still loves her and stands up professing his love . </P> <P> Faced with a huge decision, April winds up choosing Jackson over Matthew and they run out of her wedding together . However, April begins to panic over her decision, though she still chooses to drive away with Jackson . When April comes to believe that they have made a regrettable decision in running away from her wedding together, Jackson proposes to her and they elope . They keep their marriage a secret from the rest of the hospital staff, because of a new rule at the hospital restricting staff fraternization . Jackson's ex-girlfriend Stephanie feels especially betrayed because of how Jackson left her . Catherine Avery is not at all happy about her son's elopement with April, and the fact that there wasn't a prenuptial agreement to protect the Avery family fortune . They soon make up after April signs a postnuptial agreement . Jackson and April soon hit a rough patch when they realize that they have different views about the way their children should be raised in respect to religion . Soon after their fight, April realizes she is pregnant . April and Jackson's baby is diagnosed during pregnancy with Osteogenesis Imperfecta type 2, and learn that the baby will not survive long after birth . Jackson believes that termination is the best option, however April would rather give birth to the baby knowing it will not live very long . They scheduled an induction for the next day, at the beginning of the appointment they are asked to sign their baby's death certificate, which is too hard for the couple to bear . April doesn't sign the papers and returns to work the same day praying for a miracle, while at work she has a heart to heart with a lady who lost her fiancée the night before . They decide to give birth to the baby via induction termination at 24 weeks gestation having it baptized right then . She gives birth to Samuel Norbert Avery and he passes away shortly after birth . In the series 11 finale April announces to Jackson that she is leaving with Owen Hunt to be a trauma surgeon in the army - something she says she wants to do in order to properly grieve for their son; after initial refusal from Jackson he lets her go, but is left wondering what to do in order to grieve for himself . Over passing months April and Jackson only have few opportunities talking to one another . After discussions over the phone via facetime, April announces to Jackson that she is lengthening her service time, meaning she will be staying for a further few months; before Jackson can express his disgust at this, gunfire and explosions are heard at April's base camp, leaving her to quickly terminate the call . Jackson is unsure whether his wife is hurt or if she is ever coming home to Seattle . On Valentine's Day April returns to the hospital where she and Jackson embrace in the foyer . In season 12, their marriage begins to fall apart and they grow estranged . In episode 11, they file for a civil divorce . After their divorce is finalized, April reveals that they are expecting another child . </P> <P> In February 2009, Michael Ausiello hinted at the possibility of central character, Meredith Grey (Ellen Pompeo) having another sibling . The series had released a casting call for an actor that could pass as biracial, and the casting was postponed until season six . Williams's casting was announced in late August 2009 . Though his name is not given, the character's arc was expected to last several episodes . Williams described his audition as a "simple process ." He got the information on his birthday, August 5, went in the next day to read for the role, despite not knowing what part he had auditioned for . Williams learned he got the job a week later . In late 2009, a casting call for a young Ellis Grey (Kate Burton) and a young Richard Webber (James Pickens, Jr .), who would appear in flashbacks fueled rumors that Jackson could be Meredith's half - brother . Williams later shot down the rumor saying that Meredith would have noticed if her mother were pregnant . Matt Webb Mitovich noted Williams's absence from the "Seattle Grace: On Call" webseries as a sign of big plans for the character . In the episode, "Perfect Little Accident," which premiered on March 4, 2010, Jackson is revealed to be the grandson of the legendary Harper Avery (Chelcie Ross). Shonda Rhimes hinted at the possibility of Williams and his co-star Sarah Drew becoming series regulars in her blog post about the season finale in May 2010, and Rhimes does not deny the possibility . Williams's promotion was eventually confirmed in June 2010 . </P>

Who does jackson avery end up with in grey's anatomy