The baby surgery has started, and Addison makes conversation by asking who it is that Derek is dating. "Who's the unlucky McRebound?" When no one says anything, she wonders if the Mc-thing is finally dead. Bailey finally decides to save her from herself and declares, "Addison, the woman standing immediately to your right, the one handing you the surgical instruments?" Addie turns and after a second tries to cover and cheerfully says, "Hey!" Rose deftly handles the situation by replying, "Hey! Six dates, heavy petting, lots of tongue. Good guy! Scalpel!" Addison just sighs. She must be liking the idea of L.A. and her messy love life a bit more now.
Izzie has made her way out of the chips and back to her patient, and the husband is ecstatic to hear that they might have a healthy baby. Izzie's pleased and tells them that the risks are "substantially reduced." She adds that they haven't found a doctor for the procedure yet and it might take a while, but is cut off by the furious wife. While the husband thinks they can figure anything out, the wife growls that Izzie didn't do the one thing she was asked, and that she got her husband's hopes up. She explains through clenched teeth that she was diagnosed at nineteen years old and has learned to deal with it but that she won't put that on a baby. She orders Izzie to schedule the procedure and to never come back -- she wants a new doctor. Oh, don't we all, ma'am.
Derek, Meredith and their team roll a laughing Derek into surgery while Jennifer follows behind looking nauseated. Derek leans in and reminds Phil about what they talked about, so he calls Jennifer to his side. When she doesn't respond immediately his anger flares, but when she comes to his side he grasps her hand desperately. He tells her that he doesn't want to leave her alone and has her promise that she'll try to meet someone, because he can't go into surgery thinking about leaving her alone. Jen manages to agree, and Phil points out that he could make it through and he hopes that he does. Jennifer just leans in and kisses his face, which sets off another round of laughter. They wheel him into the OR and Meredith pauses a moment before going in to look back at Jennifer's tear-stained face.
In another OR, Addie and Bailey deliver the baby. Nikki begins to hemorrhage so Alex looks after the infant while Addie helps to try and stop the bleeding. Alex then wheels the incubator down the hall and explains to Richard that Addison is helping. Richard sends him along, reminding him that Addie knows what she's doing. Ah yes, that's probably why she left -- too many surgeons knowing what they're doing. This might start to resemble a functional hospital!