Alex and Reed are out of their own surgery and standing in front of the on-call room; Alex asks her if she's ready to pay up. She balks and makes some excuses while trying to still be flirty, but Alex keeps at her until she says that they might have had a misunderstanding about the definition of, "You know..." Alex clearly knew this already, and tells her in no uncertain terms that he doesn't trade surgery for sex, and if she wanted sex she should have just asked for it. He adds that if she wants surgery, she needs to kiss someone else's ass. Charles then shows up for his second scene only so that he can chastise both of them, but is surprised when Reed tells him to go to hell and Alex smirks at him before stalking off. Charles asks the empty hallway how he became the bad guy. It's because you're the idiot jester of the hospital now, Charles -- every show... I mean hospital, needs one.

Dude, this was the scheduled hour for Big Talks at Seattle Grace Mercy West, it seems, and Mark and Lexie are back at the apartment talking about his surprise offer for Sloan. He's happy and thinks it's totally the right thing to do, and tells Lexie that he only knows what the right thing is because she's in his life. Lexie is happy for him in that regard, and tells him that he became a father while Sloan shockingly became a mom that day. However, Lexie herself didn't become a mother and reminds Mark that she was barely ready to move in with him, so now moving in with Sloan and a baby are too much. Mark argues that this is what you do for family, reminding her that she was ready to give Thatcher her liver. Yes Mark, her liver, and a month of recovery -- Thatcher wasn't moving in with you for the two of you to care for him 24/7 for the rest of his life after that. Lexie assures him she knows why he is doing it, but not why she should be, and Mark actually tells her that he's doing this for her. Lexie immediately tells him not to make her the selfish one, and that he can't make this decision by himself. He just tells her about how this is his second chance, and he needs them, and then drops the bomb when he asks her not to make him choose between the two women. Lexie quietly asks him if that's because he would choose Sloan, and without much hesitation Mark tells her that's true. Lexie, upon hearing this, tells him, "I think our relationship just ended." She kisses him and leaves, and I totally started asking the television why Mark couldn't at least have had a remotely likeable daughter, because then the break-up of one of my favorite couples on this show would at least be palatable.