Meredith: No!
Derek: Yes!
Meredith: No! If you report him...
Derek: He's an alcoholic!
Meredith: If you report him it would be the end of his carrier! You don't give people any room! Flaws are unacceptable to McDreamy!
Derek: Don't McDreamy me.
Meredith: McDreamy is being a McAss.
Derek: He is an alcoholic. How long has he been drinking? Since the holidays?
Meredith: What do you wanna take notes? So you can show it to the Board so they can offer you his job on the spot? You want his job, you know it and I know it!
Derek: I'm the Head of Neurosurgery, I have the responsibility to this hospital.
Meredith: Admit it, you wanna be Chief!
Derek: You know what, I'm done having this argument. I'm going to the Board, I'm reporting Richard. (starts leaving)
Meredith: Post-it!
Derek (stops): You can't call post-it!
Meredith: I am calling post-it, because I told my secret about my friend to my husband! Not the Head of Neurosurgery, my husband. Which I have to be able to do, so the laws of post-it clearly prevails.
Derek: This is wrong!
Meredith: Post-it!
Derek: The Chief...
Meredith: Post-it!
Derek: Fine, I won't tell.
Meredith: Fine. (smiles)
Derek: Damn it, you're just making me... (walks over and kisses her passionately) Mmmmm... (Mer's pages goes off)
Meredith: Oh, Izzie is coming home. I have to tell Alex.
Derek: I won't go to the Board. I won't say a word. Just think about what I said.
Meredith: Okay.

Derek: I read the board. The Chief is doing a whipple. And you're scrubbing in.
Meredith: Well, you can stop worrying, he's fine.
Derek: He hasn't operated in months, and his first surgery back is a 7 hour procedure with a 20% complication rate.
Meredith: First you were worried that he wasn't operating, now you're pissed that...
Derek: I don't trust him anymore! Meredith...
Meredith: Post-it.
Derek (shakes his head, but kisses her and walks away)
Meredith (to herself): He's fine. He's fine.

Owen: Ah, Meredith. The other half of the twisted sisters.
Derek: Is that what you're calling Meredith and Cristina? The twisted sisters? Hahaha... Well that fits.

Derek: Sorry you didn't get a chance to do the procedure.
Meredith: Something came up, it happens.
Derek: Not surprised by Richard though. You're not a dumb person but right now you're acting like one.
Meredith: I'm not going to turn him in!
Derek: Hmmm... Tacoma passed on Izzie. Did my best, just too much history... If I went to the Board, they make me Chief. First thing I do is hire Stevens back. It's your choice, it's up to you.

Meredith: Okay fine. You can go to the Board.
Derek (tries to hug her)
Meredith: Just... (walks away)

Meredith: Did you see him before you left?
Derek: No. I didn't think it would make it easier.
Meredith: For him or for you?
Derek: It's the best thing for both. You know that. It's the only thing.
Meredith: Lets not pretend you did this for him. It's just you and me here, Derek. You did this for you. And the choice between surgery and love, you chose surgery. You chose ambition today.
Derek: So did you. You knew he wasn't ready to go back to the OR, but you wanted to do the surgery so badly you were willing to overlook it. We're the same.

Number one rule of surgery is limit exposure. Keep your hands clean, your incisions small, and your wounds covered. Number two rule of surgery is when rule number one stops working, try something else. Because sometimes you can't limit exposure, sometimes the injury is so bad you have to cut, and cut big.

In surgery, the healing process begins with a cut, an incision, the tearing of flesh. We have to damage the healthy flesh in order to expose the unhealthy. It feels cruel and against common sense, but it works. You risk exposure for the sake of healing, and when it's over, once the incision has been closed, you wait. You wait and hope that your patient will heal. That you haven't in fact, just made everything worse.