Cristina asks Alex whether he'd choose surgery over the person he loves. Meredith admits "gun to my head" that she'd choose surgery. Izzie, who's looking for a job in Tacoma so she can stay and patch things up with Alex, tells her, "That's crazy. Surgery is just a job. If you lose your job, you get another one, but if you lose your love, suddenly nothing else matters." We wince when Alex tells Izzie, "Love comes and goes. Surgery doesn't." He admits to Izzie that he's slept with someone else. When he hears that her scans are good, he breaks down and tells her how much he loves her. We think they're getting back together, but instead, he thanks her for convincing him he's a good man—and that because of her, he now knows he deserves better! "I'm happy you're okay and I'm happy about your job and I want you to go and not come back," he tells her, and wow, it's tough to hear!