"Can two people really be meant to be? MFEO? Soul mates?" These words from Meredith's opening voiceover to kick off a very relationship-y episode of Grey's.
It's Arizona's first day back at work. Intern Heather (Callie calls her "weirdo") is on wheelchair duty. She's to follow Arizona around in case she needs to take a seat. Alex pays off a young patient so he won't ask what happened to her leg. Arizona is literally steps behind everyone else treating a boy who was trampled by a horse, but she still makes it through the long surgery. Then she falls flat on her face. Alex clears the room expecting Arizona to be devastated, but she's actually laughing. Callie wants to know what happened after she fell. Arizona says, "I got back up." Nice.
April's dreams of getting married in a field with wildflowers, butterflies and gift mints that say "mint to be" could be derailed once she realizes she may be pregnant. Jackson does his best to support her as they await the results of a blood test. He also assures her that they can get married and be amazing parents together. April is happy to hear this, but is completely overjoyed to learn that she isn't pregnant after all. Her elation has Jackson questioning their future together. It's a future he decides to end abruptly.
Intern Stephanie (aka "Grumpy) and Intern Shane (aka "Happy/Dopey") assist on a liver transplant case. Bailey puts the kibosh on Cristina's plans to have an intern operate on the patient, Graham. The man and his partner have been waiting a long time for this day. Unfortunately, Graham's body rejects the new liver. Shane breaks down when the patient and his partner get the news that Graham has about a week to live. Later, Cristina is actually somewhat understanding towards Happy/Dopey, though she does call him "Weepy." Bailey, who is dealing with Ben's desire to have a Christmas wedding, realizes that Cristina's time in Minnesota changed her.