"Don't Let's Start" is the sixth episode of the eleventh season of Grey's Anatomy and the 226th produced episode of the series. It is also the 337th produced episode of the Grey's Anatomy franchise. It was broadcast on November 6, 2014.
Derek urges Meredith to attempt to build bridges between herself, Maggie and Richard by inviting them to a family dinner, but the arrangement does little to repair the damage between Richard and Maggie and also highlights the fractures in Derek and Meredith's marriage. Elsewhere, Owen and Jo both find themselves dealing with the personal implications of a former vet who arrives in the E.R after a car jacking, forcing Jo to confess her fears about her relationship with Alex, while Bailey's patient makes her reassess her own approach to her health after a heartburn turns into something much more sinister. April faces the arrival of her mother to Seattle and her mother's unwelcome enthusiasm about her baby preparations forces April to try and reconcile her role as a mother and a doctor, and her issues in her relationship with her mother while, still reeling from her separation from Callie, Arizona finds herself pushes one step too far by Dr. Herman as she tries to put her all into her fellowship.
- "Trauma is messy, chaotic. Llooking at a body that's been reduced to a bloody pulp it might seem difficult to know where to start. Luckily, some very clever person developed a protocol. The ABC's; airway, breathing, circulation. The ABC's keep your patient alive so you can figure out how to tackle the rest of the mess. If only all life's problems could be solved with an intubation tube."
- "The ABC's of trauma are a handy tool for keeping a patient alive but there only a starting point. Once the patient airway, breathing and circulation are clear and accounted for, the real work begins, the messy work. There's no telling how long it's going to take to clean up that chaos once you've begun because sometimes you don't know what you're in for. You don't know exactly what you're about to face. You don't know what secrets the body in front of you holds and whether, by the time it's over, if there's anything left worth saving."
- "Not Loving You" - Mary J Blige
- "Long Hard Look" - Mary J Blige
This episode's title originated from the song Don't Let's Start, originally sung by They Might Be Giants.