Grey's Anatomy

She's a love bug.

Have you ever had the starring role in a play...

A solo in a recital?

Okay, she's gonna take her first steps any minute.

I can feel it.

All eyes on you...

Okay, so I am gonna give you the giraffe,

and maybe she'll walk to you.

Well, she's not gonna do it on cue.

She's gonna surprise us, right?

You gonna surprise us? Here you go.

Waiting for you to do... what they came to see...

- Oh! Hi. Yeah, daddy. - She's gonna take her first steps

while she's in day care,

- and then I'm gonna kill myself. - No, she won't.

You're not gonna do that, right, Zo? Zo, come to daddy.

Come to daddy.

Come on. Come get the giraffe.

You're just the cutest kid on the entire planet.

Why is that?

She's perfect.

Okay.

Feeling the incredible pressure to perform.

There was a time when they used to call operating rooms

an operating theater.

It still feels like one.

Scores of people get ready for the show.

The sets are arranged.

There are costumes...

masks...

props.

Everything has to be rehearsed...

choreographed...

All leading to the moment

when the curtain goes up.

You know what they say about Carnegie Hall?

There's only one way to get there.

Practice, practice, practice

until it is perfect, people.

This is a long, complex procedure

with many parts.

Therefore many opportunities for error.

So we're gonna go over this again.

Team leaders, let's get in place.

All right, green team over here, please.

Let's go, red.

We've offered this family every pro bono dollar,

every surgical hand, every resource this hospital has.

So I'm asking you for every resource that you have.

Be sharp, be present, be focused.

Dr. Robbins has been caring for these children

since the day they were born.

They will each get a new life today.

Our actions will decide what kind of lives they will be.

Let's begin.

I thought I had Dr. Knox.

You know what I love about you? Your warmth.

You were doing the conjoined twins.

- Well, now Knox is doing the conjoined twins. - Uh-huh.

Uh, we're not talking about it.

Oh, of course we're talking about it.

It is a crazy idea

that I am not talking about

- because it's crazy. - It's not crazy.

We'd sleep in one bed,

we would have breakfast at the same table,

we'd have one electric bill instead of two.

Oh, that's why you want me to move in with you,

so we could save on the electricity?

Yeah, it's the responsible thing to do...

for the planet.

I am not moving in with you.

It w-what, look, we've been together, what, two weeks?

Two weeks and nine months, before the pause.

And I want to hit play again,

right where we left off.

I don't want to start at the beginning.

Because it's good for the planet?

And I have a better TV.

Look, come on now. Admit it.

You-you want to live with me.

You love me.

I want...

Knox back.

Mm.

Flaps are inset and viable.

We are looking at at least 18 hours,

so come and go if you need to,

hydrate, eat,

but be here at least 30 minutes before your procedures.

All right. Next up, general surgery.

First we need to establish

each baby's blood supply to the shared colon.

Then we separate the colon,

making the first incision...

I will make the first incision.

We'll separate the colon.

Okay, and now I'm checking the displaced kidneys...

To make sure they're intact and functioning.

Uh, that's implied.

I don't care. Say it.

Checking the kidneys to make sure

they're intact and functioning.

Man, she's wound up tight.

Thought you were off work today.

I won't see another one of these in my lifetime.

- Okay, you need to tie that off better, though. - You're doing the flip, right,

- Karev, with Robbins? - Uh-uh.

The flip's a critical part. You ready?

- Yes, sir. - You forgot to cauterize.

- You want this baby to bleed out? - Do I...

- No, I... - Yeah, I should think not.

Look, I know this procedure is her baby,

but she keeps nitpicking everybody,

she'll destroy their confidence.

- Don't let her do that to you. - Oh, no, sir.

Good, because if this flip goes wrong,

she's gonna blame you.

It'll go on your record, and-and boards coming up...

it's not gonna look good.

- Did you check the pelvis? - I-I...

Glad it's not me.

Okay, it's time to flip them.

Karev, you're up.

Ready?

Yeah.

And why is the flip so important?

It just gets very tricky.

They have open incisions,

so they have to stay sterile,

and we have to make sure that they stay intubated

- and monitored. - Okay.

And we also have to keep all their I.V.s and wires

from getting tangled and intertwined in the process.

You know, I...

Imagine, um,

changing the battery of your car

while speeding down the freeway.

Except it's not a car or a battery.

I mean, they're your babies.

So... it's a bad analogy. I'm sorry.

No, that's the first thing you've said

that I've totally understood.

But if the flip goes wrong, then...

everything after that is...

is hosed.

Well, the doctors have planned and rehearsed this for weeks.

I mean, they've got it down.

Karev, you rushed it. You're like two steps ahead of me.

No, you over me.

Yours over mine, everything's fine.

Mine over yours, babies in the morgue.

That's how it works.

That's your pneumonic device?

Great. Now Brandi's wounds are exposed,

and little Andi's gone without oxygen for a whole minute.

Okay, I... can we start over?

No, there's no time.

Let's just finish this practice

and try the flip again. Next.

- Neuro. - Ortho.

Okay, we will access and separate

the conjoined spinal canal.

Separate the bony elements of the spine.

Well, that was a train wreck.

You nearly killed both dolls.

Look, I have it. I know it.

If only freakin' Robbins would trust me to do it.

Doll killer.

Meredith Grey. Okay, come with me.

O.R. two. Right away.

Okay, I am gonna tell you something about my personal life.

Really?

Okay, um, my personal life is none of your business.

The fact that I know things about your personal life

is one of the great sadnesses of my existence.

Sorry about that.

And the fact that you're going to know about mine

is exponentially worse,

but I don't see how we get around it.

Okay.

We're about to operate with Dr. Warren.

He and I are... involved.

Everybody knows that.

Can you not pretend?

Oh, oh. You and Dr. Warren? Wow.

Uh, he is going to try and discuss personal matters

in the O.R. today,

- and I don't want that to happen. - Okay.

Okay, so I'm going to teach you a lot.

And you are gonna ask questions... a lot.

And if he gets a personal word in edgewise,

I want you to forget which is the business end of a scalpel

real quick

and ask for help.

Okay, but let me get this straight.

You pulled me out of a once-in-a-lifetime surgery

to be a buffer between you and your boyfriend?

Oh, don't use that kind of language with me.

Spinal separation complete.