It’s finally time for the Attendings to choose a Resident for the solo surgery, but when the honor goes to our girl, Cristina, she has to pick her replacement because the Chief has placed her on probation for not stopping the Interns’ whole practice-medical-procedures-on-each-other shenanigans. Still, that’s so unfair of the Chief! The rest of the Residents were just as bad at watching out for their Interns, but then maybe no one would get the solo surgery and what kind of fun would that be? All of the Residents make their cases, except for Izzie who’s too busy getting it on with her dead boyfriend (we’ll come back to that). After some advice from Dr. Virginia Dixon, the peculiar new Cardiologist, Cristina picks Alex because he’s the most prepared. Obviously Meredith doesn’t see it that way, and the rift between Cristina and Mer widens.
Okay, so back to Izzie. She’s seeing her dead boyfriend Denny. And she’s doing a whole lot more than just seeing him, if you know what we mean. If you don’t, we’ll spell it out: We’re talking about ghost sex. George is picking up on the fact that something’s wrong with Iz and tries to discuss with Alex, but Alex just snaps at him.