Grey's Anatomy (2005– )
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Elevator Love Letter 

Owen's PTSD endangers Cristina, Izzie's illness leaves the residents dealing with guilt and anger - at her expense, and Derek's fear causes him to persevere for Meredith's answer.


Edward Ornelas


Shonda Rhimes (created by), Stacy McKee | 1 more credit »




Episode cast overview, first billed only:
Ellen Pompeo ... Dr. Meredith Grey
Sandra Oh ... Dr. Cristina Yang
Katherine Heigl ... Dr. Izzie Stevens
Justin Chambers ... Dr. Alex Karev
T.R. Knight ... Dr. George O'Malley
Chandra Wilson ... Dr. Miranda Bailey
James Pickens Jr. ... Dr. Richard Webber
Sara Ramirez ... Dr. Callie Torres
Eric Dane ... Dr. Mark Sloan
Chyler Leigh ... Dr. Lexie Grey
Kevin McKidd ... Dr. Owen Hunt
Patrick Dempsey ... Dr. Derek Shepherd
Kimberly Elise ... Dr. Rebecca Swender
Jessica Capshaw ... Dr. Arizona Robbins
Molly Hagan ... Jackie


Derek returns to operate on Izzie, whose friends use their duties as residents to avoid her, especially George who feels betrayed because Izzie never told him about what was going on. Alex assists Mark on a case where an elderly lady's family does nothing but hover around waiting for her to die and Meredith turns down Derek's proposal because she feels it's all for the wrong reasons. Written by Moviedude1

Plot Summary | Plot Synopsis


Drama | Romance


TV-14 | See all certifications »






Release Date:

26 March 2009 (USA) See more »

Company Credits

Show more on IMDbPro »

Technical Specs


Sound Mix:




Aspect Ratio:

1.78 : 1
See full technical specs »

Did You Know?


Every episode of the show is named after a famous song. "Elevator Love Letter" is a song by Stars. See more »


Dr. Meredith Grey: [to Cristina] Hunt literally tried to kill you. He's barely back from Iraq, it's obvious he has issues. That doesn't mean that you have to stand by and...
Dr. Cristina Yang: So like if he had a heart attack, or a stroke or lost a leg, would you walk away? So how is it any more acceptable that I walk away from this? He's wounded. He has war wounds, Meredith. It's not cut and dry, and it is not as bad as you think it is.
See more »


Referenced in Grey's Anatomy: Falling Slowly (2016) See more »


With the Notes in My Ears
Performed by Peter Broderick
Courtesy of Hush
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User Reviews

Grey's Anatomy is BACK!
21 April 2009 | by Salah_AnwarSee all my reviews

From about two episodes the episodes excitement started to get down, the scenes heat started to go down. I said to myself i will not continue watching if it will keep up like that. but suddenly wow! I mean wow! the episodes level got up fast the scenes got more awesome. Shepard refuse to go to work, Hunt issue with Christina got more series, Alex and Izzie is back together and she has to do an operation the story got more awesome. the acting is going to better and better I think if they keep up like that they can make until season 10 : ) also what I want to say to the writers keep going on that track it's totally awesome!

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