Maria Santos came to work at Pine Valley Hospital as the newest neurosurgeon in town in 1993, Although Edmund Grey was still in love with Brooke English, Maria became involved and fell in love with him herself. The triangle was finally broken when Maria married Edmund and they were extremely happy.
Del Henry came to Pine Valley and it was revealed that Maria had had a affair with Del during their college days together. The affair resulted in Maria becoming pregnant with his child, unfortunately, a miscarriage resulted and along with that an infection that caused Maria to have fertility problems. They wanted a child desperately and after several attempts with "in vitro" they finally decided to adopt a child.
Maria's sister, Anita, introduced them to her pregnant unmarried friend, Kelsey Jefferson. Kelsey lived with them after she had agreed to let Maria and Edmund adopt her baby. Kelsey, before the adoption trial period was up, decided she wanted the baby back, driving a wedge between Maria and Edmund that caused them to separate.
Maria, devastated by the loss of Sami, was comforted by Dimitri Marick, Edmund's half brother who was then married to Erica Kane. Dimitri, estranged from Erica reached out to help Maria and both feeling needy, ultimately slept together, but just once. Maria and Edmund reconciled and were happy once again when Bobby Warner convinced Kelsey that Sami belonged with Maria and Edmund and Kelsey gave them Sami to keep as theirs.
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