Rachel Andersen

Callie and Arizona's wedding is not coming together as they hoped it would; Alex seems to be the first choice for chief resident; Meredith and Derek make a life-changing decision; Dr. Perkins tempts Teddy with a proposition.

Jay takes Manny out to cut down their own Christmas tree, and Gloria is on edge with mom in town, but changes her tune when she sees her bonding with Claire. Elsewhere, Mitchell is forced to do last minute shopping when they didn’t get Lily the right gift, and Cameron takes Lily to a charity event where they experience the true meaning of Christmas.

The residents agonize over their upcoming exam results; Arizona's childhood friend needs medical help; the doctors try to help a patient who is missing one third of his skull; Julia wants to start a family with Mark.

Richard's 10,000th surgery is a liver transplant for two sisters; Derek and Lexie take on a case that had been declared inoperable; Teddy and Cristina try to swipe a case from Alex and Dr. McQueen; Meredith tries to choose a specialty.