Spoiler bonus: Following this scene, Bailey (Chandra Wilson) starts stealing patients for Seattle Grace, since it is no longer the No. 1 teaching hospital, and they need to up their trauma ranking. Also, late in the episode, a very cranky chief (James Pickens Jr.) gets angry about the ranking situation and goes off on one of the people in this scene like he has never gone off before. You—and the person he yells at—will be stunned.

Spoiler bonus: Even though Lexie (Chyler Leigh) and George (T.R. Knight) seem to be getting cozy, she finds out he slept with the other Grey…and that throws...