In the V.I.Penis OR, the fish seems to be doing a great job hanging on. As Bailey comes in, they announce they're going to cut it out, and there's a lot of grossed-out looks over the surgical masks of everyone assembled. When they finally grab it and pull it out, it looks like these horrible old plastic bugs that a friend's brother had when we were kids. In addition, it looks to be about five inches long. Excuse me while I just go have a little retch in the corner, I'll be right back.

Outside the OR, Meredith and Mark both scrub up after the surgery. She's making conversation while he just glares at her, hot and angry, and then looks like a light bulb has gone on over his head. "What do you say we have a real meeting of the Dirty Mistresses' Club? Like it should have been from the beginning?" She more confused than anything, and he goes on to explain how they could do it really quick in the on-call room. (Sheets! Please will someone wash the sheets?) He keeps coming on to her and adds that he's sure something's wrong with her and Derek, since something is always wrong. She handles him amazingly, and never loses her cool or even bats an eyelash, and instead just asks him what's wrong. He finally tells her that things aren't going to work out with Addison. Meredith says coming on to her won't help, but he says pathetically, "She doesn't want me. Something's gotta help." I wonder if Addison had him ultimately underestimated, as this is a guy who really is hurt by what's happened. Meredith advises him, "Revenge sex is not the answer. If you're letting her go, let her go. Be an adult."

Alex visits Crush, who is back in her room, and she thanks him for everything and adds that he and Addie are a great team. When he mentions Mark, Crush tells him that isn't happening, and gives him the update that was so rudely interrupted by her seizing and giving birth earlier. She tells him Addison is looking for someone committed, and when he denies that he's that person, she assures him he is. "Whether you want to admit it or not, you're actually one of the good ones."

George finds Gail Leery and tells her that Skinner is going to be fine. She seems relieved -- not incredibly emotional, but still glad. She then asks him to tell Celeste the news. "She's a basket case and I just don't have it in me to take care of my husband's girlfriend right now." George is silent, and she answers the unasked question. "Of course I know. The wife always knows." She walks away to see her husband, and the weight of what she says clearly sinks in for George.