First Promo For "Elevator Love Letter"

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Below is the first promo for "Elevator Love Letter," this Thursday's all-new episode of Grey's Anatomy. It's the 19th episode of the show's current fifth season.

The big stories: Derek returns to the hospital to perform his first surgery since his breakdown, Izzie's medical condition requires her to undergo a difficult operation of her own, and Owen experiences another PTSD episode that injures Cristina and traumatizes both.

Sneak previews and photos to come! Here's the promo ...

[video url="http://www.tvfanatic.com/videos/elevator-love-letter-promo/" title="Elevator Love Letter Promo"] [/video]

Steve Marsi is the Managing Editor of TV Fanatic. Follow him on Google+ or email him here.

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Grey's Anatomy Quotes

Arizona: Oh my God! I mean, I understand why you're into her. She's hot. Wait, she likes you?
Nathan: What? I mean, I'm going to try not to be offended at that.
Arizona: No, no, no. It's just that Derek was--Derek was epic for her. They were the great love story. I mean, that girl's heart beat for Derek Shepherd. It just...it never occurred to me that she would ever be with anyone else. He was perfect. He was everything. That man turned her world. It...I spooked you. Don't be spooked.

Arizona: Alright, what's your plan here Pierce? Do something! I'm not asking, Pierce.
Maggie: I hear you. My plan is to give her a minute. She just lost something huge, something that has been with her since day one. Her heart just needs to learn how to beat without that extra load. She just needs a little time to adjust.