Ratings: 21.4 million viewers

Meredith: (voiceover) We all think we're going to be great. And we feel a little bit robbed when our expectations aren't met. But sometimes, our expectations sell us short. Sometimes the expected simply pales in comparison to the unexpected. You gotta wonder why we cling to our expectations because the expected is just what keeps us steady, standing, still. The expected's just the beginning. The unexpected is what changes our lives.

George: I don't want to waste another minute.
Callie: I can't have sex with you again, George. Okay? I can't. I -- enough with the sex.
George: Since my dad died I feel like, uh, someone ripped out my stomach, filled the hole with asphault. And I laugh every time I remember I'm never going to talk to him again because it just sounds like the stupidest thing I've ever heard. I can't believe it's real, but every time I look at you I feel better. It shocks me. It knocks my wind out, but it's true. I don't have to have sex with you. I'd be happy just to look at you from across the room. And even that -- anything, any piece of you. I mean, hopefully all of you, that would be the best thing because I love you.
Callie: George.
George: Marry me. Will you marry me?

Bailey: These are your letters of support for my free clinic. Sign them.
Burke: Why do you want this clinic so badly?
Derek: You're a surgeon.
Bailey: Because I need something more. I know you all have your messy lovelives and your secrets and your silliness but I want more. I need something to hold on to. I need a reason to believe that medicine could do more than stitch you up and send you away. I need to believe that medicine cannot only save lives but change lives. I need ... I need ... to believe in something the way I used to believe in you all.
(the four look blankly at Bailey)
Bailey: Sign the papers! Sign the papers!

Derek: I was a jerk, sometimes boyfriends can be jerks. It doesn't mean you stop talking to them. You get that I'm saying I'm sorry, right?
Meredith: You yelled at me for no reason, and you walked away, and now you show up here.
Derek: Of course I showed up. Why wouldn't I? You don't trust me?
Meredith: I do.
Derek: Well, this is how it works. You fight sometimes, and somebody apologizes.
Meredith: Well, how am I supposed to do that?
Derek: You've never done this before.
Meredith: No, I've never done this before.
Derek: Hmm. Okay, alright. Well, this is -- From now on you can expect that I'm gonna show up. Even if I yell, even if you yell. I'm always gonna show up. Okay?
Meredith: Okay.
(They kiss)
Meredith: You are going to make an excellent chief.
Derek: Yeah.

Richard: (to Bailey) It's you in the chair eventually, that's sho you are. But your going to have to get a new chair, because your short. You have short legs.

Cristina: I was right. I swear, I really believe what I did was right. I -- I don't want you to forgive me. Frankly, I'd find it patronizing if you did because while I know I was right, you think I'm wrong, which doesn't matter because I'm in this. I'm in this for the long haul, and I'm in this to finish the race. So if that means I don't win this one, then fine, I don't win. You win. I'm talking. See? I'm talking first. You win.
Burke: Marry me.

Addison: I'm busy now, Karev.
Alex: (yelling) When you get a minute, I'd like to talk about the kissing.

Izzie: I'm here if you want to talk. I know you're sad.
George: I don't want to talk about that.
Izzie: George, I'm your best friend. I'm trying to help you.
George: Why are you making this about you?
Izzie: It's not about me. It's about me wanting to talk about you needing so much sex your girlfriend's vagina's broken.

(Burke, Cristina, Meredith, and Derek are eating dinner together)
Burke: Meredith, would you like seconds?
Meredith: I'm great. Maybe Cristina would like some. Cristina, would you like some?
Burke: I only made enough for three.
Meredith: You just said there was seconds.
Derek: This isn't at all awkward.

Addison: He's really doing it. He's really stepping down.
Mark: One of us could be the next chief.
Burke: No, no, no. (motions to Addison, Derek, and himself) One of us could be next chief, not you.
Derek: Yeah.
Addison: Yeah.
Mark: I could be chief!
Derek: Delusional.
Addison: Mark Sloan, Chief of Medical Surgery. You know, it makes me vomit a little in my mouth.

Episode Title: Great Expectations

"Great Expectations" is a song by KISS.