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Grey's Anatomy: The Face Of Change

Competition heats up as several of the doctors fight to become the new face of Seattle Grace; April brings in an emergency case, and Jackson and Alex work with a transgender teen couple. Meanwhile, the hospital implements new policies which test the patience of the staff.

Source: ABC

Episode Info

Episode number: 9x14
Airdate: Thursday February 07th, 2013

Director: Rob J. Greenlea
Writer: Stacy McKee

Alternate Airdates:

UK (sky LIVING) Mar 13, 2013
AU (Seven) Apr 29, 2013

  • Currently 8/10
8/10 (3 Votes cast)
Guest Stars
Camilla Luddington
As Dr. Jo Wilson (Intern)
Constance Zimmer
As Dr. Alana Cahill (Physician Advisor/Efficiency Consultant)
Gaius Charles
As Dr. Shane Ross (Intern)
Jerrika Hinton
As Dr. Stephanie Edwards (Intern)
John Duerler
As Grant (Pegasus Representative)
Justin Bruening
As Paramedic Matthew Taylor (Dr. April Kepner's Love Interest)
Nicole Cummins
As Paramedic Nicole
Tina Majorino
As Dr. Heather Brooks (Intern)
Brandon Ford Green
As Dr. Allen (Portland General Hospital Staff)
Brett Rickaby
As Mr. Weston (Father of Brian: Double Mastectomy Patient)
Gerald Downey
As Dr. Kenton Giles (Portland General Hospital Staff: Orthopedics)
Jeremy Cohenour
As Dr. Boyd (Portland General Hospital Staff)
Maggie Henry
As Olivia Noel (Mother of Maya Noel: Infant with Gastroschisis)
Matt Pascua
As Jess (Girlfriend of Brian: Double Mastectomy Patient)
Nazanin Boniadi
As Amrita (Public Relations Photographer Shadowing Alex)
Paull Walia
As Dr. Kan Mattoo (Portland General Hospital Staff: E.R. Doctor)
Rachel Brosnahan
As Brian (Transgender Teen Patient: Double Mastectomy)
Renee Pezzotta
As E.R. Nurse (Portland General Hospital Staff)
Rob Brownstein (2)
As Larry (Public Relations Photographer Shadowing Avery)
Stephanie Maura Sanchez
As Admitting Nurse (Portland General Hospital Staff)
Yvette Saunders
As Dr. Collier (Portland General Hospital Staff)
Main Cast
Ellen Pompeo
As Dr. Meredith Grey
Justin Chambers
As Dr. Alex Karev
Patrick Dempsey
As Dr. Derek Shepherd
Chandra Wilson
As Dr. Miranda Bailey
James Pickens, Jr.
As Dr. Richard Webber
Sara Ramirez
As Dr. Calliope "Callie" Torres
Kevin McKidd
As Dr. Owen Hunt
Jessica Capshaw
As Dr. Arizona Robbins
Sarah Drew
As Dr. April Kepner
Jesse Williams (2)
As Dr. Jackson Avery
Sandra Oh
As Dr. Cristina Yang


The episode begins and Alex is posing for pictures and Cahill is lobbying for him as a possible "brand ambassador". A PR rep is shadowing Alex and taking pictures of him. Stephanie brings Alex to a new patient, Maya, a 13-week-old girl who was born with her intestines outside of her body. Alex says "today is the day" they're going to be able to close her up. Bryan and Jess talk about how they first met. Bryan was a girl and Jess was a boy. The doctors are removing Bryan's breasts. Jackson mentions that he'll be "taking the lead" on the surgery for the benefit of the PR folks. Bryan's father is yelling at Jess in the hallway about Bryan's gender reassignment when Alex shows up. ..

Read the full recap
Episode Notes
Ratings: 8.91 Million Viewers

Narration: The opening and closing voiceovers are done by Dr. Alex Karev instead of Dr. Meredith Grey.

ArtistSong TitlePlayed When
Grizzly BearGun-ShyMatthew Tells April He Likes Her, Closing Scenes
LeaguesSpotlightAlana Notices Blood on the Floor by Her Shoe
Lucius (1)Turn it AroundOpening Scenes, Alex Awkwardly Has Picture Taken
PhosphorescentSong for ZulaPatient’s Father Emerges, Patient’s Mate Surprised

Episode Quotes
Alex: (opening voiceover) I'm not big into change. In oncology, when a normal cell changes into something malignant, it's called cellular transformation. The damn cells turn toxic right in front of your eyes. So as far as I'm concerned transformation sucks.

Meredith: *looks longingly at the three burritos April is holding*
Meredith: Are you gonna eat all of those??

Matthew: You are the strongest, most fearless, beautiful woman I've ever met. You were incredible today. You are incredible. And, uh... I like you. I-I really like you. And I just thought I should say that so you knew, because I- (April kisses him).

Alana: By streamlining the process we will significantly decrease the hospitals hernia complication rate and become a destination medical centre.
Grant: How many patients will this place accommodate at a time.
Alana: Upwards of 30, once everything is finished. (she steps on blood left on the floor). Shepherd, would you mind taking over?
Derek: Right...

Jackson: I hope you get the brand ambassador thing. I don't want to be the face of any hospital where I have to sneak around to do the right thing
Alex: Screw that, I hope you get it.

Jackson: What happened?
Alex: Cahill figured it out?
April: They're taking us in one at a time to see who will break first.
Ross: I can't lie, I'm no good at it, they'll see right through me.
Cristina: Stay strong dopey, you can do it.
Meredith: They started with the interns.
Owen: I am trying to find out what happened.
Alex: You wanna know what happened, I will tell you what happened. That kid was dying and we kept him alive.

Derek: You paged me?
Owen: No.
Alana: Yes. We have a problem. My presence seems to have knighted an uprising, which makes it a little tough for me to do my job. Especially when you help them.
Owen: What?
Alana: It was your code that accessed the medication case on floor five.
Owen: Is that true?

Jackson: (to Jess) Jess, the surgery went very well.
Alex: Brian should be in recovery soon, you'll be able to visit him then. (Brian's father walks around the corner).
Jess: Mr. Weston, is that you?
Mr. Weston: I'm sorry, I just wanted to hear how Bri--, how everything went.
Jess: I sent you the email last night. Not Brian. It was me. He wasn't going to tell you. I know you guys don't talk that much since he moved out, but he talks about you a lot. He admires you, I think he wants to grow up and be you, and you're his dad. It was a major surgery, and I thought you should know.

Meredith: Hey, so I know you keep saying you and Wilson are not a thing.
Alex: Because we're not.
Meredith: Well, maybe you should be. Because she kind of kicked ass today. Just sayin'.

Alex: (closing voiceover) Change is a funny thing. Not everyone can handle it. It can sneak up on you. Things aren't what they used to be. Your whole world has transformed. You realize the ground beneath you has shifted. Things are uncertain. And there's no turning back. The world around you is different now unrecognisable and there's nothing you can do about it. You're stuck. The future's staring you in the face. And you're not sure you like what you see. Like I said, I'm not big into change.

Cultural References
Episode Title: The Face Of Change

The Face Of Change is the title of a song originally sung by INXS.

Episode References
Season 9, Episode 13: April has started dating the paramedic that she met in the ER in 9x13 "Bad Blood".

Warning: Grey's Anatomy season 9 episode 14 guide may contain spoilers
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