Ratings: 11.57 Million Viewers
Voiceover: The opening and closing voiceover's are done by Owen instead of Meredith.
Trivia: This is the last episode featuring Katherine Heigl in the opening credits, although she has not appeared in the show for several episodes.
Owen (opening voiceover): Dying isn't easy. The body was design to stay alive; thick skull, strong heart, keen senses. When the body starts to fail, medicine takes over. Surgeons are arrogant enough to think there's no one they can't save. Like I said dying isn't easy.
Callie: This is really hard for me to say, 'cause I really care about you and...
Arizona: Oh my God, you're breaking up with me. Mark? I-is-is it Mark? Are you sleeping with Mark again? Are you one of those fake lesbians just-- just having a va-vaction is lesbian land?
Callie: No. Stop. God, it's not bad. This thing I have to tell you isn't bad. Um... I just... I wanna have a baby. At some point in my life. That's all. I really... I have to have a baby.
Derek: I'm sorry. I know that you're mad at me.
Meredith: I'm not mad. I'm in Whoville.
Meredith: Whoville. (laughs)
Mark: You missed it. Altman tore Hunt a new one in the cafeteria. The whole hospital's talking about it.
Richard: Not me. I walk into a room, and all the conversation grinds to a hault.
Mark: Oh, come on. You don't talk locker-room talk in front of the coach.
Richard: I'm not the coach anymore. I'm a player, I take a shower like everybody else.
Mark: Richard. You're a little bit like everybody else, but mostly, you're still the coach. It's a sign of respect. You'd be wrong to take it any other way.
Meredith: You stole my surgery, right out from under me.
Derek: It wasn't your surgery. It was Nelson's surgery.
April: It's beyond Nelson's kill level... Right? I mean, that's what you said.
Meredith: My diagnosis, my tumor, my debulking. Can I scrub in at least?
Derek: You're on Nelson's service. If I switch you, it's gonna look like favoritism.
April: Dr. Nelson's been given an aneurysm
Meredith: You stop talking!
Derek: Meredith, calm down. Calm down. People are starting to stare.
Meredith: You stole my surgery. (to everyone) He stole my surgery!
Owen (closing voiceover): Living is better than dying... until it's not. But even if letting a person die is the right thing to do, it's not what surgeons are built for. We are arrogant and competitive. We don't like to lose and death feels like a lost even when we know it's not. We know it's time. We know it's right. We know we did everything we could. It is hard to shake that feeling that you could of done more.
Washington state is one of three states that allows physician assisted suicide in the U.S. However, the situation presented in this episode is a false representation. The second patient request must be in writing, not given orally as the patient is shown doing. In addition, there has to be two witnesses to the request, one whom is not related to the patient or a health care professional. Therefore, asking Owen or Mark to witness would not be valid.
Episode Title: Suicide is Painless
Suicide is Painless is the title of the theme song from M*A*S*H.
How The Grinch Stole Christmas: Jackson says to Meredith "The key is to think of yourself as one of the Who's down in Whoville." He is referring to the Who's from How The Grinch Stole Christmas.