In Waverly's OR, Addison says that the babies are in the NICU and Burke says that she's stabilized, which is perfect because now they can get to wedding chat without having to concentrate fully on the pesky surgery in front of them. Addison asks if he's nervous, but he says he's excited, and the only nerves are about his vows. Addison tells him to try it out on the room full of women he has right there. He clearly has no desire to do so, but he's severely outnumbered, so he begins. "Cristina, I could promise to hold you, and to cherish you, I could promise to be there in sickness and in health. I could say till death do us part. But I won't. Those vows are for optimistic couples, the ones full of hope. And I do not stand here, on my wedding day, optimistic, or full of hope." During all of this, the glances of his audience are getting more confused and worried by the moment, and Addie tries to mercifully stop him. I have to say, though, this is the most honest thing I've heard him express in months. But then he has to go and change it up. "I am not optimistic, I am not hopeful, I am sure. I am steady." Hey, and if he's not, he can just bully his wife into being steady for him! It worked out so well before, after all. "And I know, I am a heart man. Take 'em apart, put 'em back together, I hold them in my hands. I am a heart man. So this, I am sure, you are my partner, my lover, my very best friend." There's a shot of Izzie staring intently, just so we don't forget that she's tortured. "My heart, my heart beats for you. And on this day, the day of our wedding, I promise you this. I promise you to lay my heart in the palm of your hands. I promise you, me." Addie sighs, Izzie's left speechless, and Addison assures him that they all want him to now dump Yang and marry them instead, har har. I still can't get past the really condescending and brutal entry to these vows. I also can't help but think that maybe the two people getting married should know each other well enough that he'd be aware that she thinks of the heart only as an organ, and not as the symbolic centerpiece of his vows.
George wakes up Callie, who's napping in the on-call room, and asks if she really wants the baby, because if it's what she really wants, they can do it. She's stunned and happy, and they both smile -- even though this is possibly the worst idea in the history of worst ideas, they both look so happy, and I remember this is what I wanted to see grow between the two of them, before it was shoved down our throats that this marriage was wrong and that Izzie was his One True Love. Callie grabs George and kisses him.