In 2004, David Shore and Paul Attanasio, along with Attanasio's business partner Katie Jacobs, pitched the series (untitled at the time) to Fox as a CSI-style medical detective program, a hospital whodunit in which the doctors investigated symptoms and their causes.
En 2004 David Shore e Paul Attanasio, xunto coa produtora Katie Jacobs, propuxéronlle a serie (aínda sen título naquel momento) á Fox como un programa de detectives médicos ó estilo CSI, un whodunit nun hospital no que os doutores investigaban síntomas e as súas causas.