Meredith realizes that she must take on a lot more responsibility when she is told that her mother needs to sign over all of her assets to her. As Izzie prepares to have a party for her boyfriend Hank (the scale of which is unknown to Meredith), Meredith participates in her first heart surgery. During the surgery, she fears that she has damaged the patient's heart and is unsure of whether or not she should speak up, because she could get kicked out of the program. Meanwhile, Cristina and Burke share some comments over coffee. At the party, Meredith and Derek do some sneaking.