Meredith, Cristina, and Mark search for the others in the plane crash. Arizona’s leg is injured, Derek’s hand is messed up, and Mark has a cardiac issue. They have to perform a mini make-shift surgery on Mark to keep the blood from building up in his heart.
Mark finds Lexie trapped underneath a piece of the plane. She is badly injured. Mark holds her hand and tells her he loves her. Lexie passes away.
Back at the hospital, Callie waits for Arizona to come home. Richard takes the residents to dinner but waits for Yang and Grey to arrive.
Owen fires Teddy so she will take a once in a life time opportunity job at Medcom.
Owen receives messages from the Boise hospital that the doctors have not arrived.