The fifth years are partying hard as the job offers come rolling in. Cristina leaves the celebration to crawl into bed with Owen. She hugs him for a few moments then leaves. Later, Owen lets Teddy know that he slept with someone else. That's a big reason why his wife may be leaving Seattle Grace. Cristina lets Meredith know that Owen may be the reason she stays. He's her person. Cristina and Owen later make love. Afterwards, she tells him she's leaving. Surprise, surprise. Cristina is going to the Mayo Clinic.
Nick needs a last chance surgery. He'd rather live the final days of his life outside of a hospital since his best friend in the world is obviously avoiding him. Arizona finally comes by to convince him to have the operation. Things don't go well. The tumor has taken over Nick's heart. He's going to die. All Nick can do is kick himself for not coming sooner. All Arizona can do is hold him tight.
Richard lets Alex know that Johns Hopkins wants him for a pediatrics fellowship. They are creating a position just for him. Alex thinks Richard is pulling a prank. Then he gets the call. This exciting news even gets him a hug from Cristina. Hopkins is his dream gig, but Alex already made a commitment to Arizona. Richard gives him some advice on how to get more money and other goodies from Owen. Let the negotiations begin!