The BEST Episodes of Three Rivers

Every episode ever - ranked by fan votes!

Last Updated: Nov 5, 2021

Network: CBS

Three Rivers is a medical drama that goes inside the emotionally complex lives of organ donors, the recipients and the surgeons at the preeminent transplant hospital in the country where every moment counts. However, dealing with donor families in their darkest hour and managing the fears and concerns of apprehensive recipients takes much more than just a sharp scalpel. Leading the elite team is Dr. Andy Yablonski (Alex O'Loughlin), the highly-skilled workaholic lead organ transplant surgeon, whose good-natured personality and sarcastic wit makes him popular with his patients and colleagues. His colleagues include Dr. Miranda Foster (Katherine Moennig), a surgical fellow with a rebellious streak and fiery temper who strives to live up to her deceased father's excellent surgical reputation; Dr. David Lee (Daniel Henney), a womanizing surgical resident who's broken as many hearts as he's replaced; Ryan Abbott (Christopher J. Hanke), the inexperienced new transplant coordinator who arranges the intricately choreographed process of quickly and carefully transporting organs from donor to patient; Dr. Sophia Jordan (Julia Ormond, unaired pilot), the head of surgery and a dedicated medical professional; and Pam Acosta (Justina Machado), Andy's no-nonsense operating assistant and best friend. In this high stakes arena, in which every case is a race against the clock, these tenacious surgeons and medical professionals are the last hope for their patients.

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A Roll of the Dice

#1 - A Roll of the Dice

Season 1 - Episode 10 - Aired Jun 12, 2010

When a woman's husband needs a new kidney, she contemplates beginning a "Daisy Chain"; which means she will donate a kidney to someone and they in turn will donate their kidney until the chain is completed with her husband getting his kidney. Andy is not sure he wants to support such an action and he is concerned that another patient is rejecting his recently transplanted heart.

star 7.63
103 votes
Every Breath You Take

#2 - Every Breath You Take

Season 1 - Episode 11 - Aired Jun 19, 2010

A firefighter must decide whether to be a living donor to her captain, a man who has mistreated her. Meanwhile, Andy's uncle turns up with a stab wound and asks him not to report the incident for fear it will violate his parole.

star 7.59
102 votes
Directors: Rick Bota
Writers: Frank Military
Case Histories

#3 - Case Histories

Season 1 - Episode 12 - Aired Jun 26, 2010

When Dr. Luc Bovell returns to Three Rivers, Andy is annoyed at his rival's status and popularity since he is rude to his patients.

star 7.43
130 votes

#4 - Win-Loss

Season 1 - Episode 9 - Aired Jun 5, 2010

When a bride is gunned down at her wedding, the team is sent to harvest her lungs to transplant but run into family problems. Meanwhile, a college basketball player about to turn pro is in need of a new heart.

star 7.27
104 votes
Ryan's First Day

#5 - Ryan's First Day

Season 1 - Episode 2 - Aired Oct 11, 2009

An 18-year old in need of a double-lung transplant, struggles to survive as the team runs into an obstacle that may prevent her from being eligible for the procedure.

star 7.27
135 votes
Directors: Rob Bailey
Writers: Carol Barbee
Alone Together

#6 - Alone Together

Season 1 - Episode 5 - Aired Nov 1, 2009

In order to save his life, Andy tries a risky new procedure on his wife's partner who suffers from an aortic aneurysm.

star 7.26
131 votes
Directors: Duane Clark
Writers: Frank Military
Status 1A

#7 - Status 1A

Season 1 - Episode 13 - Aired Jul 3, 2010

Andy puts his patient Kuol at the top of the donor list to receive a new heart after his condition takes a turn for the worse. His transplant is put in jeopardy when police threaten to seize the money raised for Kuol's surgery.

star 7.26
101 votes
The Luckiest Man

#8 - The Luckiest Man

Season 1 - Episode 7 - Aired Nov 15, 2009

Andy and Sophia treat a car crash victim named Victor dying from ALS who asks to be to taken off of life support so his organs can be used to save others. Meanwhile, David tends to a foster parent with pulmonary hypertension who refuses admission to the hospital.

star 7.22
99 votes
Directors: Rob Bailey
Writers: Lance Gentile
Code Green

#9 - Code Green

Season 1 - Episode 4 - Aired Oct 25, 2009

Following a bus crash, the parents of a football player must make a heartbreaking decision whether to donate his organs. Meanwhile, Andy and Ryan rush to find a procurement team to give a boy a heart transplant he desperately needs.

star 7.03
135 votes
Directors: Christine Moore
Writers: David Amann
Where We Lie

#10 - Where We Lie

Season 1 - Episode 6 - Aired Nov 8, 2009

Lisa becomes very attached to an 8-year-old boy who she witnesses being crushed by a ride at a fair. Meanwhile, Andy and David try to get a VAD (ventricular assist device) for one of their patients.

star 6.99
133 votes
Writers: Ildy Modrovich
The Kindness of Strangers

#11 - The Kindness of Strangers

Season 1 - Episode 8 - Aired Nov 22, 2009

The wife of a billionaire suffers the consequences after a setback leaves her without a new liver and her husband resorts to buying one on the black market. Meanwhile, a friend from Andy's past resurfaces.

star 6.98
102 votes
Directors: Peter Markle
Writers: Jim Adler
Place of Life

#12 - Place of Life

Season 1 - Episode 1 - Aired Oct 4, 2009

After suffering a heart attack, Andy tells a young pregnant woman that in order to save her and her unborn child she must get a heart transplant. However, unexpected complications with the donor's family place the transplant in jeopardy.

star 6.86
170 votes
Directors: Christine Moore
Writers: Greg Walker
Good intentions

#13 - Good intentions

Season 1 - Episode 3 - Aired Oct 18, 2009

Claiming he has turned his life around, Andy (Alex O'Loughlin) convinces UNOS to give a former drug addict names Scott (Shiloh Fernandez) a new heart.

star 6.80
135 votes
Directors: Rob Bailey
Writers: Sunil Nayar