Esme gets discharged from the hospital. Her husband takes her by the hand and gently leads her out. MereVO: "Mrs. Snyder said that I'd be lucky if I ever had that kind of passion with someone, and if I did, we'd be together forever." Mere sadly watches the Sorrentos leave the hospital, surely on their way to Venice and the Bridge of Sighs.
Cut to Burke and Cristina leaving the hospital. Burke says he guesses they never did get that first date. Cristina whips around and enthuses, "Are you kidding? That was the best date I've ever been on." Yay!
Sav is in the OR and prepped for surgery. Mere tells us, "Even now, I believe that for the most part, love is about choices." Sav looks around, and the door slams open, revealing...McDreamy? Oh, you know it's just a trick. Weiss follows him in, and Savvy starts to cry, saying, "You're here!" MereVO says it's about putting down the poison and the dagger and making your own happy ending...most of the time. As she says this, McDreamy and Addison exchange looks. Uh huh. Addison tells Sav they're going to go ahead and get started now. Sav says she's ready, and squeezes Weiss's hand.
MereVO: "...And sometimes, despite all your best intentions, fate wins anyway." Mere steps into the elevator, and there is McDreamy, waiting at the back. She turns around to face the front, and murmurs, "I miss you." McDreamy steps up behind her. He takes a whiff of her hair and starts to lean in -- just long enough for it to become extremely hot -- and then whispers, "I can't." The music picks up, and McDreamy exits the elevator. Whew! Somebody better end this episode before all of America falls into a swoon.