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This is the first hour of a 2-hour season finale. A two episode entries have been created. The 10pm EST marker will mark to beginning of the second episode. A couple undergoes surgery. Derek and Meredith clinical trial has another patient. Izzie helps Alex. McSteamy hooks up with someone.

This is the second hour of a 2-hour season finale. A two episode entries have been created. The 10pm EST marker will mark to beginning of the second episode.

A couple undergoes surgery. Derek and Meredith clinical trial has another patient. Alex breaks down for the first time ever. Izzie offers a friend some help. McSteamy hooks up with someone. A new couple appears. Lexie gets something unexpectedly. George gets a second chance.

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Dr. Wyatt refuses to let Meredith give up on therapy. Alex learns something else about Rebecca. The Chief wants Erica to perform a daring surgery. Cristina continues to act strange.

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The clinical trial continues to make progress. The anti-McSteamy club creates new initiatives but that isn’t enough to stop one woman from spending time with him. Cristina is affected by Burke’s career developments.

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Addison visits Seattle Grace because they need skills that only she has. Rebecca/Ava returns with news for Alex. Meredith and Derek’s clinical trial experiences one or two developments.

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