Doctor Jacob Miguel Reilly is a double-board certified physician in general surgery as well as obstetrics and gynecology. graduated from Duke University School of Medicine. He completed residencies in surgery and OB/GYN at Johns Hopkins, and then completed a fellowship in reproductive endocrinology and infertility.His parents died when he was young, and he worked odd jobs to care for his younger siblings. He attended college full-ride. Jake was previously married to Lily Reilly and adopted her then 8 year old daughter, Angela. His wife struggled with addiction and died from overdose, leaving Jake to raise her daughter.He meets Doctor Addison Montgomery while shopping in the produce section in the market where she asks him how to tell if pineapples are ripe. Both interested, they return the following night where Jake then admits he hates pineapples. The two begin dating with the understanding that their identities will remain anonymous. He then invites her to join him on a vacation to Fiji. Addison originally accepts, but later backs out.Jake then meets her again the following week when she unknowingly schedules an appointment with him as a fertility specialist. He ends up becoming her colleague at Seaside Health and Wellness after their fertility specialist leaves the practice.He and Montgomery eventually enter into a relationship. By this time Addison has adopted a baby, Henry, and upon seeing Jake interact with her son, Addison proposes. Jake denies her offer, but only so he can ask her himself. Jake marries Addison and adopts Henry. Show less «