Guest Stars

Camilla Luddington As Dr. Jo Wilson (Intern) Recurring	Constance Zimmer As Dr. Alana Cahill (Physician Advisor/Efficiency Consultant) Recurring
Gaius Charles As Dr. Shane Ross (Intern) Recurring	Jerrika Hinton As Dr. Stephanie Edwards (Intern) Recurring
John Duerler As Grant (Pegasus Representative) Recurring	Justin Bruening As Paramedic Matthew Taylor Recurring
Nicole Cummins As Paramedic Nicole Recurring	Tina Majorino As Dr. Heather Brooks (Intern) Recurring
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	Sandra Oh As Dr. Cristina Yang
Patrick Dempsey As Dr. Derek Shepherd	Justin Chambers As Dr. Alex Karev
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	Jesse Williams (2) As Dr. Jackson Avery
Sarah Drew As Dr. April Kepner

Recap

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. ..

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