Derek and Addison are experiencing their own version of morning-after tension as a result of Mark's visit to Seattle. Meanwhile, Serena is shocked by something she witnesses at the party. We find out why Derek and Addison aren't together. This episode is the second part of a two-hour season finale. On Valentine's Day, dads against everyone is preparing for the Valentine's singles benefit dance.
Bailey has the idea of opening a free clinic. Meanwhile, Cristina teases Alex about his unspoken feelings for Jo, and Owen continues to take special care of Ethan as the condition of his parents remains uncertain. Meanwhile, Ryan and Seth discover the romantic connection between Luke and Marissa's mother in which Ryan persuades Luke to break it off before Marissa finds out. He is in need of a new liver.
Dixon, considers a new direction for her medical career. Derek sorts through what kissing Rose means. Meanwhile, Richard continues to hold onto his secret and the doctors work with a dying woman who is being kept alive by her daughter.
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Meanwhile, the residents panic after hearing that one of them will be fired. Ryan continues to become suspicious of Oliver when he suddenly transfers to Harbor High and begins making plans of his own with Marissa. Alex learns his fate after re-taking his medical exams. Two arguing parents, who are named Jane and Don, bring their son in because he swallowed coins, while a middle aged woman comes in wanting cosmetic surgery on her chin.
When Meredith and Lexie's father, Thatcher, returns to the hospital with a failed liver, it's up to Meredith to save his life. Meanwhile, Richard calls on Dr. Summer shows off her new boyfriend, Danny, gluten free dating online to Seth and Anna who correctly think that Summer is just showing off to satisfy her own ego.
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The hospital doctors become fascinated with Dr. The discord and chaos created by the hospital's new management team causes one physician to question his future at Seattle Grace. One of them convinces an intern to take their place.
- Meredith and Cristina lie to each other and themselves about their relationships with McDreamy and Burke, respectively.
- Bailey gets in on Andrew's surgery because she's worried that her coworkers won't recognize her Nazi-status now that she's a mother.
- George is trying to figure out how to get Meredith to see him as more than just a housemate.
- One of the female doctors meets a veterinarian named Finn.
- Cristina and Burke have a blow-up fight about their announcement.
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Meanwhile, a new doctor at the hospital gives Alex a glimpse into an alternate form of medical practice. Chuck and Georgina partner up in a scheme, but it has an unpredictable outcome. Meanwhile, Oliver continues to charm Marissa and throws his weight around by inviting her, Ryan, Seth, Summer, Anna and Luke to a rock concert where the band Rooney is playing. She knows someone on the staff. Meredith tries to talk to her father about his side of the story.
They work with a woman who is pregnant. Someone finds comfort in confiding in a patient who is going through an ordeal of his own. As the rest of the doctors prepare for Bailey's wedding, Richard helps her through a bout of pre-wedding jitters.
Meredith and Cristina relate at Emerald City Bar about what dating their respective attendings is like. Serena and Dan pretend to be dating again to protect someone close to them. We meet a boss, his assistant, and his wife.
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Meredith has more confusing and uncomfortable encounters with members of her family. Meredith's dad goes to visit her at the hospital. Meanwhile, Bailey deals with her own personal struggles when she nervously prepares for another date with Ben. Several weeks after her near-death experience, shy guy dating advice a recovering Izzie returns to work.
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Meanwhile, Alex struggles with making a difficult decision that will affect the lives of newborn twins. Thatcher Grey, Meredith and Lexie's father, returns to Seattle Grace with stomach pains and a new, twenty-something tattooed girlfriend, Danielle. Now that Bailey knows about Meredith and Derek's affair, their jobs are in jeopardy, and she advises Meredith to end it. Meanwhile Callie and Arizona try to help Teddy and Sloan move on from their pasts and find greener pastures. Marcy brings in her son Henry because she finds his change in behavior suspicious.
Lily throws Charlie a party to officially introduce her to New York society. The Chief officially announces his intention to retire to the administration of Seattle Grace and to Adele. Meanwhile Bailey wants Ben to kick out their new roommate, and Arizona is eager to get back into the dating world with a new wingman.
Meanwhile, Bailey brings them a case of a pregnant woman who is close to her heart. Blair thinks Cyrus may have found a potential loophole in her prenup. She also is reaching the limits of Issie's sunshine and George's politeness as she goes on living with them. Cindy Aaron, the complete opposite of Miranda Bailey.
As they try to move on with their lives, they must learn to adapt to the changes, cope with their losses and move forward with their relationships and careers. The anti-McSteamy club creates new initiatives but that isn't enough to stop one woman from spending time with him. The chief's announcement of his retirement sparks competition between Derek, Burke, Addison, and Mark.
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Meanwhile, Sandy attempts to help Jimmy sort out his life, and gives him some bad news that be may go to jail for his unauthorized loans to cover his tracks. When the plumbing springs a leak, chaos breaks out at Seattle Grace as the Chief tries to put in place new teaching methods. Cristina, Izzie and Meredith take care of Shane, a man who appears to be crazy and claims that he is pregnant.
Two patients are competing to win something big. Meredith, rattled by the latest events, tries to figure out what to do about Derek. Exhausted and traumatized, the interns take stock of their first day as surgeons. Meanwhile, Callie, Arizona and Bailey plan a much needed ladies night for Teddy.
Callie reveals a big secret. The staff attends to an intern from another hospital who has short-term memory loss. Derek has to perform surgery. Other news includes patients doing uncanny things and relationship havoc being wrecked between the doctors, as per usual. Meanwhile, laws regarding age and dating one of the doctors fights for their life.
Chuck and Dan decide to spend the day together to distract themselves from the fact that they didn't make the invite list for Blair's shower. Meanwhile, Alex feels guilty for being away from the hospital when Tommy's health begins to fail. Meanwhile, Richard feels manipulated by Catherine. Izzie and George go crazy trying to get him one. Someone ends up on the brink of death.
- In this Callie and Arizona centric episode, the couple takes a look into the problems that have contributed to their troubled marriage.
- Thomas on a challenging heart surgery.
- Meredith and Derek's clinical trial experiences one or two developments.