You're having the surgery. What? Shepherd said this is your ...
Alex: You're having the surgery.
Alex: Shepherd said this is your last shot.
Izzie: Look I under-
Alex: I am your husband, and I say that you are having the surgery!
Izzie: What happened to "this is your decision."?
Alex: That was when I thought you were gonna make the right one! But, you chose wrong so now you don't get to make this decision on your own, because you married me! It's not just your life at stake anymore! It's my life too. My life with you! So you can tell Swinder whatever you want, but I'm telling Shepherd, and I'm telling you that you're having the surgery!