Meredith and Dr. Shepherd must convince a religious man to allow his daughter to have a life-saving operation. Ellis is reliving her love affair with Richard. Alex and George must perform a surgery in less-than-ideal conditions to save a police officer's life. Cristina, right back at work, must find a solution when her patient loses access to his pain "medication." Izzie's mad at Alex. Meanwhile, it's decision time for Shepherd-Grey-Shepherd love triangle.