Several of the doctors compete to be the new face of Seattle Grace; April brings an emergency case to the hospital; Alex and Jackson work with a transgender teen couple; new policies test the patience of the staff.
Derek and April fight to find a solution for the hospital; Cristina works to respect the wishes of a dying boy's family; Arizona identifies with a teenager who is facing similar problems.
Owen is faced with tough decisions as Seattle Grace spirals toward financial ruin; Jo and Alex try to save an infant's life; April turns to Jackson for dating advice.
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