Meredith and Derek are in bed when Derek brings up having babies - or a baby - and Meredith freaks out. She goes to talk to Alex when he is showering.  Derek comes in and informs them that Alex’s brother is downstairs.

Alex is highly surprised given that he hasn’t seen his brother in seven years. It turns out that his brother, Aaron, has a massive tumor. Aaron gets checked in pro-bono.

Callie and Arizona have a strange run in with Mark standing on the sidelines. Apparently Callie and Arizona have yet to come to any resolution about having or not having children.

Mark tells Callie that he slept with Teddy and it was mind blowing  - the same goes for Teddy telling Arizona that the sex was great. Teddy also informs Arizona that she knows something is wrong with Owen and she can’t do anything now that he is in a relationship with Christina.

A police officer lady comes in screaming she took down three men. She was on duty and didn’t follow orders so her chief told her that she would be suspended if not fired for her actions.

She goes in for surgery and Cristina accidentally sets off a bullet that was lodged by her heart. Owen freaks out on her telling her that she should have followed orders like a soldier should do.

Teddy tells Cristina that it is her fault and Owen’s for speaking in short army tongue. Cristina tells Teddy that this isn’t the first time Owen’s acted like that. Teddy urges Christina to give him time and he will work it out because he loves her.

The police officer makes it out alive, but they had to do an impromptu hysterectomy to save her life. This makes Callie realize what she also would be missing out on without having children.

The chiefs patient, Alison, came in for a routine surgery. Lexi goes to get her husband, and when they get back, Alison, will not open her eyes.  She filled out paperwork not requesting to be kept on life support.

Lexi talks to Mark about her patient and asks him how to not care. He tells her that he is still learning.  At the meeting with Alison’s husband Lexi catches April giving Derek bed eyes. She chases April out to the hallway and confronts April about what she saw. April admits that she has feelings for Derek.

Alison doesn’t wake up after Lexi pulls the life preserver. He husband is left all alone.

Aaron tells Bailey and Meredith about Alex’s childhood. Because their mom couldn’t take care of them and their father left it was up to Alex to provide. He stole and did shady things for the sake of his siblings which landed him in juvenile detention. 

Aaron gets accidentally educated about Alex’s life in the last seven years - including his marriage and impending divorce to Izzy. This causes an outburst between the brothers.

Alex goes to visit his brother after the surgery. Aaron asks him why he left - especially because when they were younger they were so close. Alex tells him in a way he did it for them. So that he can provide for them.

That night, Meredith and Alex are sitting on the couch and Meredith tells Alex that he is nothing like his father. Alex tells Meredith the same and that she would make a good mother.

Cristina walks in on Owen cooking her dinner when he snaps again. He tells her that he thinks he should start back his meetings with the shrink.  Cristina tells him that he is not alone.

Derek brings up having babies again and Meredith finally agrees to start trying to concieve.

Mark and Teddy are naked in bed when Sloan unexpectedly shows up in labor.