Bailey hands Mrs. Brian her discharge papers, explaining that once she signs she is free to go. Mrs. B definitely seems troubled, and tells Bailey she's sure Bailey thinks she is a horrible person for refusing to give her kidney. Bailey keeps a straight face and tells her she isn't thinking anything. But Mrs. B goes on to explain how Brian has taken everything -- her love, pride and dignity -- and that the one thing he doesn't have is her kidney. She can't give him that last part, and repeats that Bailey must think she's terrible. Bailey (who does seem like she might think so, just a tiny bit, even if she is doing a valiant job to not show it) explains that there are good rules in place to keep her having an opinion for a reason. Giving an organ that God gave you to someone else is an extraordinary gift, one that can't be coerced but must be given. She does add, though, that if Mrs. B were to do it -- here she stresses she isn't asking her to do it -- but that it would be for five other people that weren't her husband. Bailey is silent while Mrs. B's holds a pen over the signature line, staring at it with tears in her eyes.
Bailey is awesome at not coercing someone to do something -- next we see is Richard announcing that all six donors are anesthetized and ready. They will go first, and then the recipients will be brought in. All of the pairs will be color-coded so that there aren't any mix-ups. He tells them to work quickly but carefully. "Use each other. Operate as a team." Izzie shoots a glare towards Alex, obviously bitter that she still has to work with someone who doesn't kiss the ground she walks on and marvel at all of her meaningful personal (and always correct) observations. Richard sends them off to make medical history, then comments to Bailey that they are very lucky that Mrs. B changed her mind. Bailey will only agree.