Grey's Anatomy · Season 5 · Episode 19

“Elevator Love Letter”

Aired Friday 27 March 2009 on ABC

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Tensions are running high at Seattle Grace with all eyes on Derek as he is set to perform his first surgery after his breakdown; attention is also set on Izzie, whose medical condition requires her to undergo a difficult surgery; and Owen has another PTSD episode that injures Cristina and traumatizes both of them, throwing the future of their relationship into question.

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