The Future Mrs. Derek Shepherd!

Meredith Grey is finally engaged to her man, Derek Shepherd. It's a wonderful thing.
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Mer's Hall of Fame

Derek constructed a Meredith Grey Hall of Fame of sorts to propose to her in the elevator. It was wonderful, simply put.
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MerDer Engaged!

Meredith and Derek didn't actually ask and answer any questions, but they definitely got engaged in "Elevator Love Letter," and it was awesome.
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Derek's Proposal

Derek proposed to Meredith in the elevator. Appropriate, romantic and just about perfect.
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Sad Alex Karev

Alex Karev is sad for so many reasons about Izzie Stevens, and worries about what the future holds for them, if they have one at all.
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A Real Illness

Derek tries to tell Owen that PTSD is not something he should try to handle on his own. Hopefully Hunt will take that advice to heart.
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Scruffy, Dreamy

Derek is still McDreamy, even at his lowest point. We actually kind of like the beard.
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Scary Scene

A scary scene from "Elevator Love Letter" in which Owen strangles Cristina while asleep. The scene is rather intense.
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Boss Bailey

Miranda Bailey is the boss at Seattle Grace, and don't you ever forget it, interns. Residents. Even the Chief. She runs the show!
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Izzie's Friends

But also doctors. Can Meredith and Cristina draw the line "Elevator Love Letter" or will their desire to help medically get in the way?
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Friends, Not Doctors

Meredith, Alex and Cristina are urged by Dr. Bailey to be Izzie's friends, not her doctors, as she begins her difficult battle with cancer.
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Chief and Mer

Meredith and the Chief talk things over in a photo from "Elevator Love Letter," from Season Five of Grey's Anatomy.
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Grey's Anatomy Season 5 Episode 19 Quotes

Derek: Hey. Come on in. This is a CT of Katie Bryce. 16 year old female, subarachnoid aneurysm.
Meredith: From a fall during rhythmic gymnastics. I remember.
Derek: I remember, it was the first surgery we ever scrubbed in together on. Our first save. Right here is a cerebral cyst. Tough save, but we did it. I kissed you in the stairwell after the surgery. And this right here is where Dr Bailey kicked you out of the surgery, because she caught us in your driveway, in my car. And right here, this is a seven hour craniotomy. You held the clamp the entire time, never flinched. That's when I knew you were gonna be an incredible surgeon. Beth Monroe, made our clinical trial a success by surviving. You talked me into putting her under. That's when I knew I needed you. And this is today, post op head CT of Izzie Stevens. You see that? Right there. Tumor free. Because of you. You got me into the OR. If there's a crisis, you don't freeze, you move forward. You get the rest of us to move forward. Because you've seen worse. You've survived worse, and you know we'll survive too. You say you're all dark and twisty. It's not a flaw, it's a strength. It makes you who you are. I'm not gonna get down on one knee, I'm not gonna ask a question. I love you Meredith Grey, and I wanna spend the rest of my life, with you.
Meredith: And I wanna spend the rest of my life with you.

Richard: Wait. Um. Wait. No. You can't take that one.
Meredith: Why not?
Richard: I said don't take it.
Meredith: I will take the elevator I want to take.

Grey's Anatomy Season 5 Episode 19 Music

  Song Artist
Song Little Pieces Gomez
Song The Weight Of Us Grey's Anatomy Sanders Bohlke iTunes
That Home Cinematic Orchestra iTunes