Richard makes Meredith wait for the elevator and when the doors open, she sees why: A clean-shaven Derek is inside and the elevator is decorated with scans of all the surgeries they did together. He recounts the stages of their relationships as they played out during each case. Lastly, he shows her the post-op scan of Izzie's brain. "You got me into the OR," he tells her. "You put the rest of us to work because you've seen worse. You know we'll survive. You say you're dark and twisty, but that's not a weakness, it's a strength. It makes you who you are. I love you Meredith Grey, and I want to spend the rest of my life with you."
"And I want to spend the rest of my life with you," she says, and they kiss.
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