Narration: There is no opening voiceover in this episode.
Casting: This is the last episode featuring Chyler Leigh (Dr. Lexie Grey) and Kim Raver (Dr. Teddy Altman).
Ratings: 11.44 Million Viewers
Trivia: What is happening to Arizona and Mark mirrors what is happening with patients in the hospital. Callie is treating a patient with an open femur fracture (like Arizona) and Teddy's patient has a cardiac tamponade (like Mark).
Alex: Your wife is bonkers!
Callie: Yeah, but she's cute.
Cristina: Oh I found it!
Arizona: First aid kit?
Cristina: No my shoe!
Jerry: Is she going to be OK?
Arizona: Well she's not barefoot any more.
Jerry: Well that's something.
Cristina: I don't understand how this keeps happening! We keep dying, we're in a plane crash--right now! I tell you one thing, when we get out of here I'm getting the hell out of Seattle Grace Mercy Death and I am never looking back.
Lexie: Mark, I'm dying.
Mark: What? No you're not.
Lexie: I am. Please tell Meredith that I love her and that she was a good sister. And please tell my dad -
Mark: You're not dying, you're going to be fine.
Lexie: Hold my hand.
Mark: I'm not holding your hand because you're not dying.
Lexie: Hold my hand.
Mark: No, you're not dying. Do you hear me? You don't die today.
Cristina: Matches! Yes, god finally. Fire, we can build a fire.
Meredith: We should, they'll see a fire. Lets get a fire started.
Cristina (to Mark who is still sitting, holding Lexie's hand): Mark! We need to start a fire. Mark, Mark! You have to help!
Meredith: Uh, I'll figure out how to get it started.
Cristina: No, no. You know what he doesn't get to do this. He doesn't get to stop helping. I'm sorry he lost Lexie but she was your sister and you're still helping. He has to help because the sky is falling, Mark!
Derek: Cristina -
Cristina: No, no, no! You know if there's one thing that I've learned with all the bombs and the guns to my head and the buses running down my friends is that I am not interested in dying! I want to get out of here and I want to go home! And everyone has to help!
Mark: I love you.
Lexie: You don't have to say it just because I said it.
Mark: I do. I love you. I love you. I've always been in love with you, I will always be in love with you.
Mark: Yeah, which is why you have to stay alive.We- we- we're going to get married and you're going to become an amazing surgeon and we're going to have two or three kids.
Lexie: Sofia can have siblings.
Mark: Yeah, a sister and two brothers.
Lexie: That's nice.
Mark: And we're going to be happy Lex, you and me. We're going to have the best life Lexie, you and me. We're going to be so happy. So you can't die ok? You can't die because we're supposed to end up together. We're meant to be.
Lexie: Meant to be. (Lexie dies)
Mark (Closes her eyes and cries): I love you, I love you, I love you...
Teddy: Hey, you were looking for me?
Owen: We need to talk.
Teddy: No, we don't. I am happy to stay. It'll be fun! It'll be like old times, like you and me back in Iraq.
Owen: You're fired.
Teddy: That's good.
Owen: Effective, immediately.
Meredith: (closing voiceover) The years we spend as surgical residents will be the best, and worst, of our lives. We will be pushed to our breaking points. This is the starting line. This is our arena. How well we play, that's up to us.