Now that Derek has the engagement ring, he searches for the perfect way to propose to Meredith, as Lexie demands that Mark go public with their relationship.
Bailey grows desperate as a patient's condition becomes Mehr and Mehr dire. Everyone in the hospital is stepping up to try to find the boy a new organ donor, including Meredith, who considers a death row patient's wish to die before execution.
Bailey and Seattle Grace s new pediatric surgeon try to save the life of a longtime patient; the admission of a death row inmate angers Derek; Izzie tells Alex that she has been seeing Denny.