• Season 5 Episode 19
  • Elevator Love Letter

  • Airdate:26.03.2009.

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.

series regulars:

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

guest cast:

    Jessica Capshaw as Dr. Arizona Robbins
    Kimberly Elise as Dr. Swender

written by:

Stacy McKee

directed by:

Ed Ornelas