Richard's operation involves a kidney transplant between a couple of bickering sisters (guest stars Peri Gilpin and Nia Vardalos). Things are going well until a confused Adele shows up after being found wandering the streets. Meredith suggests that Richard recall a happy memory to help ground her, so he sings "My Funny Valentine" because they were married on February 14th. This works wonderfully, but Richard knows his celebratory party must now be canceled.
Now that Mer-Der have Zola, April thinks it's time to move out. She wants Jackson as a roomie, but would prefer to ditch Alex. That's not gonna happen. They need rent from all of them to get a decent place. In other news, Meredith needs to declare a specialty. General surgery seems to make the most sense, but Meredith worries that will make her just like Ellis. Richard assures her that she's nothing like her mother.
Callie and Arizona believe Mark is afraid to say "I love you" to Julia because Lexie broke up with Jackson. They try to convince him that the Lexie ship has sailed (and sank). The two ladies aren't subtle in their attempts to get him to say those three little words to Julia. But Mark refuses to rush into things like he did with Addison and Lexie. Just call him McMaturity.