Patient: When are you gonna do it? Today? Oh please do it today! Do it here.
Derek: No, I don't know. I was told it was supposed to be like a grand gesture.
Patient: Oh. Well, Brad proposed to me in a supermarket aisle. He said that was the place he saw me for the first time. So, I said yes between the cat food and the tampons.
Derek: Oh, that's romantic.
Patient: It was actually.

Derek: I know that's why we're gonna do an exam, ok. I need you to look down for me.
Patient: Ok... OH! What is that?
Derek: What? Oh... ah, Dr. Grey could you ah, set up an MRI for Mrs unsure of what her name is please right now.
Meredith: But did you see...
Derek: Now Dr. Grey.
Meredith: Ok... [leaves]
Patient: Oh... you, you saw something?
Derek: No, no no. No, I'm sorry. Alright, can you keep a secret?
Lexie: You bet I can.
Derek: This is intended for Dr. Grey. It's supposed to be a surprise.
Patient: Oh my god... and I almost blew it!
Derek: Yeah.

Meredith: Hi, um...
Derek: What's up?
Meredith: I need a Neuro consult.
Derek: Ok.
Richard: Yeah, that's... you better go.
Derek: Thanks Chief. Ok.

Richard: It's the opening page of your marriage. It can determine the entire game. You've gotta go all out. Now your plan should include: Flowers, candles, exotic foods, live musicians, and a row boat. Sky writing is not out of the question. You've gotta go...
Meredith: Dr. Shepherd.
Derek: Yes?
Richard: Ah, you've gotta... um... hmm... yeah.

Richard: So ah, ah, how are you gonna do it? Um, go big? A grand, romantic gesture?
Derek: Um, I... I don't know yet, Chief. I'm not sure that Meredith is the grand gesture kind of girl.
Richard: Oh you wanna do the grand gesture.

Mark: [sees Mer walk by, clears throat] So what did you use, like, a twist drill for that?
Derek: Oh no, you don't want a partial propriatal heamatoma! [laughs]
Meredith: Hi.... [walks away]
Owen: Good luck.
Derek: Ahhh... Please don't tell anybody else ok? I thought I could trust you.
Mark: Of course you can trust me.

Richard: How are you gonna do it?
Derek: I don't know. I just decided.
Owen: Morning. Sir.
Mark: Shepherd's proposing.
Owen: Congratulations. That's a big step.
Derek: Thank you very much. Are you just gonna tell everybody now?
Mark: You need advice. Hunt, have you ever proposed before?
Owen: Sorry, I'm not the guy to ask. When are you gonna do it?
Derek: More importantly, how am I gonna do it?

Derek: She said a thing about babies. Like babies were a totally ordinary idea. She's not afraid, she's ready.
Mark: When are you gonna do it?
Richard: Do what?
Mark: Shepherd's proposing.
Richard: No kidding, outstanding!
Derek: Yeah.

Derek: Well she built the house of candles...
Cristina: Yeah, for you. She built you a house of candles 'cause you like that sort of thing, she doesn't.
Derek: Ok, thanks.

Derek: Ah, Cristina. Did you tell her about the ring?
Cristina: Uh, I don't wanna talk about your stupid ring.
Derek: Good. Don't.
Cristina: Oh, you're not gonna do a bit thing are you? Like some big, romantic, McDreamy thing. 'Cause she'd hate that.

Derek: Pregnancy induced hypertension?
Meredith: Yeah, I have to get her BP down before it starts to affect the baby.
Derek: Nice couple, they'll have cute kids.
Meredith: Yeah, Not as cute as ours. But, cute. .... What?
Derek: [smiles] Nothing.

Mark: It's dangerous. People who carry guns are more likely to fire them.
Derek: Oh I'm ready to fire it. That's not the problem, she's the problem. She spooks easy. I have to fire at the right time, the right way. Otherwise, she'll panic and bolt. She's not ready. You think she's ready?
Mark: I dunno. More importantly, if you don't know you shouldn't do anything until you do know.

Grey's Anatomy Season 5 Quotes

Minister: Dearly beloved. We are gathered here today to celebrate the wedding of Alexander Michael Karev and Isobel Katherine Stevens. This is a sacred right. An ancient right. As Isobel and Alex prepare to join their lives, it is important to understand that everyone present has played a part in shaping their lives. And, will continue to play a vital role in their continuing future. And thus, we are here not only to witness their vows to each other, but to bestow upon them our blessing. And, now the couple will read their vows.
Izzie: Oh, we didn't write anything.
Alex: No, wait. I have something I wanna say. Today's the day my life begins. All my life I've been just me. Just a smart mouth kid. Today I become a man. Today I become a husband. Today I become accountable to someone other than myself. Today I become accountable to you. To our future. To all the possibilities that a marriage has to offer. Together, no matter what happens, I'll be ready. For anything. For everything. To take on life, to take on love. To take on possibility and responsibility. Today Izzie Stevens, our life together begins. And I for one can't wait.
Izzie: I love you. (kisses him)
Minister: Ahem, not yet!
Alex: Hurry up!
Minister: By the power vested in me, by god and the state of Washington, I now pronounce you husband and wife.
Izzie: Now?
Minister: Now.
(Izzie and Alex kiss)

Did you say it? 'I love you. I don't ever want to live without you. You changed my life.' Did you say it? Make a plan. Set a goal. Work toward it, but every now and then, look around; Drink it in 'cause this is it. It might all be gone tomorrow."

Meredith (closing voiceover)