This episode is big. It is one of the biggest of our lives. We didn't know it was going to be one of the biggest of our lives. If you don't get that reference, go and read the monologue. But truly this is an episode jam packed with GGB's and all the things that make it a classic Grey's episode.

Callie and Arizona are struggling with their relationship, because Callie's bank account has been wiped clean and she is embarrassed that she has no money. George is calling time of death on patient after patient in the pit. He is discouraged, but Owen has a pretty sick teaching moment, encouraging George that by him doing the shit work, Owen could save a life...or something.

Derek and Meredith are getting ready for their big day, until Izzie starts seeing Denny again and realizes her tumor is back. Derek does some scans, and finds out that it is in fact a tumor, and he is unable to remove it. So, instead of Derek and Meredith getting married...IZZIE AND KAREV DO. What joy! What surprise! What tears!

This episode is a 10 out of 10 scalpels folks! You don't get that very often!