Sweet Surrender

"Defeat isn’t an option. Not for surgeons. We don’t back away from the table til the last breaths long gone. Terminal's a challenge, life threatening's what gets us out of bed in the morning. We’re not easily intimidated, we don’t flinch, we don’t back down, and we certainly don’t surrender, not at work anyway. To do our jobs we have to believe defeat is not an option. That no matter how sick our patients get, there’s hope for them. But even when our hopes give way to reality, and we finally have to surrender to the truth, it just means we’ve lost to today’s battle, not tomorrow’s war. Here’s the thing about surrender, once you do it, actually give in, you forget why you were fighting in the first place."

- Meredith Grey

 is the twentieth episode of the fifth season and the 98th overall episode of Grey's Anatomy.

Short Summary
On her day off, Bailey cares for a dying child. Izzie gets sicker. Lexie doesn't stop eating from the stress of Derek and Mark not being friends, Meredith tries on dresses, George and Alex bicker, Owen takes an interest in George, Cristina avoids Owen and Callie's dad comes to visit. Izzie gets pregnant with Dereks baby, which she names, Bethenny.

Full Summary
Episode in detail.

Main Cast

 * Ellen Pompeo as Dr. Meredith Grey
 * Sandra Oh as Dr. Cristina Yang
 * Katherine Heigl as Dr. Izzie Stevens
 * Justin Chambers as Dr. Alex Karev
 * T.R. Knight as Dr. George O'Malley
 * Chandra Wilson as Dr. Miranda Bailey
 * James Pickens, Jr. as Dr. Richard Webber
 * Sara Ramírez as Dr. Callie Torres
 * Eric Dane as Dr. Mark Sloan
 * Chyler Leigh as Dr. Lexie Grey
 * Kevin McKidd as Dr. Owen Hunt
 * Patrick Dempsey as Dr. Derek Shepherd

Guest Stars

 * Kimberly Elise as Dr. Rebecca Swender
 * Jessica Capshaw as Dr. Arizona Robbins
 * Obba Babatundé as David Gates
 * José Zúñiga as Anthony Meloy
 * Elden Henson as Matt Smithson
 * Héctor Elizondo as Carlos Torres
 * Amy Madigan as Dr. Katharine Wyatt

Co-Starring

 * Carlease Burke as Mrs. Gates
 * Mary-Charles Jones as Jessica Smithson
 * Regi Davis as Kevin the Psych Resident
 * Moe Irvin as Nurse Tyler
 * Nicole Cummins as Paramedic #1
 * Mac Brandt as Paramedic #2

Uncredited

 * Deacon Conroy as Mr. Hall

Notes and Trivia
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 * This episode's title originated from the song ', originally sung by Sarah McLachlan'''.
 * This episode scored 13.55 million viewers.
 * Lexie eating a lot in this episode was a joke because her portrayer, Chyler Leigh, was pregnant at the time.
 * Izzie names her and Derek's baby, Bethenny after her modeling campaign that paid for her med-school, Bethenny Whisper.

Quotes

 * Owen: I don't feel anything
 * Dr. Wyatt: Nothing? No anger? Happiness? Unhappiness? Guilt? Survivor's guilt? You know it's very common with veterans.
 * Owen: It's not about my platoon.
 * Dr. Wyatt: You have shoved your feelings aside for so long. I'm asking you to claim them. And Owen... this is about your platoon.
 * Owen: It's about the fact that I tried to choke my girlfriend to death. What? Are you saying the way I feel about my platoon and the way I feel about what happened with Cristina are the same? They're not the same.
 * Dr. Wyatt: Well, how will you know if you can't name those feelings?
 * Owen: It's not what it's... It's... I don't know.


 * Owen: I jumped, in front of her car. And she was just driving to the bank.
 * Dr. Wyatt: Are you talking about Cristina?
 * Owen: I jumped in front of her. I knew, I knew I wasn't together. I knew no good for her, or for anyone. And I wrecked her. And that is unforgivable. I don't forgive myself for that. I can't forgive myself for that. And I feel shameful about that. That is what I feel today. Shame.
 * Dr. Wyatt: Good. That's a start.
 * Owen: How is that a start?
 * Dr. Wyatt: You named it. The feeling. You have to know what it is, before you can start to navigate to somewhere better.