The End is the Beginning is the End

"The big day is here. The day you're gonna hear the news, the test result. Is the biopsy malignant or benign? Am I gonna live or die? You just want to know even if the news is scary because then you can move on. Whatever that means. They say ignorance is bliss because once you know about the tumor or the prognosis, you can’t go back. Will you be strong or will you fall apart? It's hard to predict so don’t worry about it. Enjoy the time you have before the news comes. Yep, ignorance is bliss."

- Meredith Grey

The End is the Beginning is the End is the eleventh episode of the ninth season and the 183rd overall episode of Grey's Anatomy.

Short Summary
Meredith, Derek, Cristina, and Arizona receive big news regarding the plane crash lawsuit, Richard avoids Catherine’s romantic advances and Jackson takes on one of Mark Sloan's old patients. Meanwhile, Derek begins recovery on his hand.

Main Cast

 * Ellen Pompeo as Dr. Meredith Grey
 * Sandra Oh as Dr. Cristina Yang
 * Justin Chambers as Dr. Alex Karev
 * Chandra Wilson as Dr. Miranda Bailey
 * James Pickens, Jr. as Dr. Richard Webber
 * Sara Ramírez as Dr. Callie Torres
 * Kevin McKidd as Dr. Owen Hunt
 * Jessica Capshaw as Dr. Arizona Robbins
 * Sarah Drew as Dr. April Kepner
 * Jesse Williams as Dr. Jackson Avery
 * Patrick Dempsey as Dr. Derek Shepherd

Guest Stars

 * Debbie Allen as Dr. Catherine Avery
 * Beth Grant as Sheila Olsen
 * Roma Maffia as Roberta Thompson
 * Camilla Luddington as Dr. Jo Wilson
 * Gaius Charles as Dr. Shane Ross
 * Julie Warner as Mrs. Lanz
 * Tina Majorino as Dr. Heather Brooks
 * Jerrika Hinton as Dr. Stephanie Edwards
 * Meeghan Holaway as Doctor's Rep
 * Tessa Ferrer as Dr. Leah Murphy
 * Ben Stillwell as James Leggett

Co-Starring

 * Bob Brancroft as Leonard Olsen
 * Mandy Levin as Dana Leggett
 * Doug Simpson as Phil Leggett
 * Nicole Cummins as Paramedic Nicole
 * Kate Mines as Nurse Gloria
 * Tara Shane as Taylor Lanz
 * Aubrey Peeples as Super Hot Girlfriend

Notes and Trivia

 * This episode's title originated from the song The End is the Beginning is the End, originally sung by Smashing Pumpkins.
 * This episode scored 8.80 million viewers.
 * This episode was originally titled Judgement Day.