Meredith goes to Cristina and says she knows she deserves the surgery, but Cristina should do what she needs to do. Later, Alex tells Cristina that she was robbed. He then explains in detail what he would do if he was operating. He adds that he has done four amputations in the past. Cristina then talks to Hunt about the choice she has to make and he tells her to go with her gut.

George tells Alex that something is wrong with Izzie and he needs to talk to her. Alex tells George never to talk to him about Izzie again. Meanwhile, Izzie is in bed with Denny.

Sadie goes to Lexie in the observation room and says that she's not sorry about what they did. Sadie says that it was a good way to learn. She says that the doctors that are supposed to teach them only to care about sex. Lexie says that Sloan taught her medicine earlier and it wasn't about sex. Sadie says that she's seen how Sloan looks at her and can tell that he has a crush on her.

Bailey assists Sloan with the voice box surgery. Bailey tells Sloan how impressed she is with him. Afterward, Sloan asks his patient, Mrs. Anderson, to try to talk. She goes for her post it notes and her husband stands up and yells no. He begs her to talk to him and the doctors give them some privacy.

Emma is brought to Holly. Emma asks if Holly can come out of the coma and Dixon coldly says no. Dixon asks for Holly's organs and her parents ask for more time. Emma gets upset and tells Dixon to get out.

Izzie approaches Cristina and asks if she's ever had mind blowing sex. She explains that she is currently having the best sex she has ever had. She also says that she knows Cristina will give the surgery to Meredith and even though she is corrupt for doing so, she doesn't care because she is having great sex.

Sadie tells Webber that it was her fault. Webber tells her to stop worrying about who's fault it was and figure out how to make up for it.

Dixon tells Cristina that it's not fair that people are dying and Holly's organs could save them. Cristina leaves and goes to the surgery board. She grabs a marker and as all the doctors look on, she writes Karev. Meredith tells him congratulations. Webber tells Cristina she made an interesting choice and Cristina says he made the best case.

Alex goes to Izzie and tells her that he won the surgery. He then tells her that he loves her. He explains that he went to find her to tell her the good news and she wasn't there. He says that she is never there and he thinks that she might love him too. He tells her that he understands what she went through with Denny, but he thinks that she makes him want to be better and he thinks he can be better with her. He tells her she can be scared, but she should be scared with him. He asks her to join him with his first solo surgery. Alex kisses her and leaves. Denny tells Izzie that he doesn't like that guy.

Emma tells Meredith that she didn't really mean what she said to Holly. Meredith tells Emma to tell Holly now what she wanted to say. Emma tells Holly that she's sorry and she loves her. Meredith says that Holly loves her too, no matter what may have been said. Emma's parents console her as she cries.

Meredith tells Derek that he was right about her and Cristina fighting. He tells her to go to Cristina and work things out. He tells Meredith that he is sick of losing patients and Meredith says she is sorry.

Lexie goes to her patient and tells her that it's just the two of them so she should try to talk. If it doesn't work, no one else is around so it won't matter. The patient starts to say hi. Her husband walks in and hears his wife. He tearfully says hi back and they hug.

Webber asks Dixon if she thinks she may have a future at the hospital. Dixon asks if he was trying to torture Yang and Webber says yes. She tells him to have the board make her a better offer.

Meredith goes to Cristina and says that she knows she didn't chose her because she was mad at her. Cristina gets annoyed and says she gave the job to Alex because he was better suited. She says that she can separate her job from her personal life unlike Meredith. Cristina then stands up and yells at all the doctors saying she deserved the solo surgery more than all of them, then leaves. George tells Meredith that he is worried about Izzie. Meredith then gets a page from Alex.

Meredith goes to Alex who is freaking out because he told Izzie he loved her and she hasn't shown up for the surgery. Meredith tells him to stop freaking out because he needs to be focused for the patient. Webber walks in and asks if Alex is ready. Alex doesn't say anything, then Izzie walks in and says he's ready.

Hunt takes Cristina to the boiler room and stands her over a grate. A rush of air blows up and Cristina is totally amused. He tells her that it will clear her head and they kiss.

Lexie goes to Sloan's house and tells him that he made Mrs. Anderson speak. She tells him that she respects him and asks him to teach her. He tells her to stop, but she presses on. She starts taking off her clothes and keeps asking him to teach her. She asks if she's really that bad. He says no and kisses her, then they make love.