Meredith finally decides between Derek and Finn, Izzie has an illuminating discussion with Denny’s dad and there’s a hot new doc at Seattle Grace.

Addison and Derek are stunned when the Chief hires Dr. Mark Sloan as the new head of plastic surgery. Sloan is quickly dubbed McSteamy. His first case involves a car salesman who lights up a cigarette while wearing an oxygen mask. BOOM goes the salesman who is left with severe facial burns.

Addison’s patient is due to deliver her baby any minute but refuses to consider a C-Section. Alex wants to bail on the case, as he’s eager to scrub in with Sloan. Addison is fed up with Alex, so she says GO. Alex’s enthusiasm diminishes as Mark gives him his first assignment—a bone dry cappuccino. Sloan does his best to save the salesman’s face but his bedside manner needs a little work. Bailey steps in to comfort the patient and his wife.

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