Grey's Anatomy is a Medical Drama. Beginning its life in 2005 as a Mid Season Replacement, Grey's quickly became known for being sort of, well, quirky, especially given its genre: in addition to McNicknaming and using the world "seriously" as much as we use the word "egregious", the show focused primarily on the romantic and sex lives of its characters rather than on the medical cases. Case in point: the first scene of the pilot episode is Narrator Meredith Grey waking up after a one-night-stand with a hot guy named Derek and rushing off to her first day as an intern at Seattle Grace Hospital... only to discover that said one-night-stand, Dr. Shepherd, works there too.The show follows the lives, both personal and professional, of a group of surgeons at Seattle Grace-Mercy West (following a merger with a nearby hospital in Season 6). Each episode is narrated by Meredith, a world-weary intern struggling to deal with her mother's Alzheimer's syndrome. Though initially focused on five interns and their immediate superiors, the show has introduced numerous characters since its onset, resulting in a large ensemble cast. Additionally, the show has matured some in recent years; the wackiness and sexcapades have been largely toned down, resulting in a more serious character study. Some found this deplorable, but the show continues to pull high ratings.The first season, 13 episodes, can be found for free on Hulu.Former Trope Namer for Urgent Medical Alert, Grey's Anatomy Emergency Medical Response. Should not be confused with Gray's Anatomy, the famous textbook on human anatomy the title is based on.
One episode has a girl who has very bad injuries, and the doctor's strongly suspected it is her parents who have been hurting her. It is later revealed she feels no pain and has been allowing other kids to beat her up as she believed it was a superpower.
Meredith's mother was verbally/emotionally abusive and her father abandoned her.
Alex's father, until Alex fought back as a teenager and his father never came back home. Alex's mother was schizophrenic (which his brother also develops), and unable to care for her children.
Adult Fear: The entirety of the episode "The Girl With No Name."
All Asians Look Alike: Subverted in the second episode. Izzie asks Cristina to translate for a woman who only speaks Chinese. It works as well as you'd expect—especially since Cristina grew up in Beverly Hills.
"The only Chinese I know is from a Mr. Chow's menu. Besides, I'm Korean."
Alternate Reality Episode: the eighth-season episode "If/Then", which revolves around an Ellis Grey who is alive and lucid. The ripple effects are fairly significant (Alex has proposed to Meredith; Callie and Owen are married; the Shepherds are still together; Cristina has no friends) but Because Destiny Says So other things come back to bite them (Alex is still an inveterate womanizer; Mark and Addison are still carrying on; Meredith still can't please her mother; she and Derek are attracted to each other; she and Cristina become Fire-Forged Friends whilst struggling to save a patient), turning the whole thing from "For Want of a Nail" into "In Spite of a Nail" instead. Incidentally, the episode's theme is "Because Destiny Says So."
Amusing Injuries: A lot. Some earlier episodes had a parasite enter through a patients penis, Addison getting a rash from using poison ivy in place of toilet paper, a patient suffering from priapism, and Mark having a fractured penis all Played for Laughs. Usually the attendings have to warn the interns/residents to be professional and not laugh around when around certain patients.
A recent episode has Bailey describe getting an infection from having sex on the beach while Callie laughs.
And Starring: Patrick Dempsey (as Derek "McDreamy" Shepherd). Isaiah Washington also had this credit. And sometimes guest stars as well: William Daniels always had it during his appearances in the 9th season.
Anguished Declaration of Love: Happens all the time. But in particular we gotta give it up to the Grey sisters as both Meredith (to Derek) and Lexie (to Mark) have their love speeches ignored by their respective soulmates.
Izzie Stevens is what Katherine Heigl considers a better, more moral version of herself.
And basically all of the female characters are versions of or parts of Shonda Rhimes' personality, according to her.
Author Catchphrase: The pilot episode, referring to making conversation solely because of presumed social conventions as "do[ing] [relevant determiner phrase] thing", by both Meredith to Derek at the beginning ("We don't have to do the thing..."), and by Cristina to Meredith at the end ("Do we have to do that thing..."). Strange because this was not a common turn-of-phrase (at least not before the episode aired), and Cristina came from another state and just met Meredith during the episode, after Meredith had used the phrase with Derek. Probably the intention was to form Book Ends, though more common phrasing used both times would have worked fine, and sounded much more natural. Also referring to important people in life as "my person"- the main characters do this frequently, then patients and their families also use it without having heard the main characters say it.
Bait-and-Switch Gunshot: In the Season 6 finale, Gary Clark, the shooter, is talking with Lexie about his intention of killing her. *bang* She falls. Suddenly, she looks up, to find he's been shot by SWAT.
Batman Gambit: Bailey plays one on Arizona in Season 9. She's trying to break Arizona out of her funk and get her to come back to work, prosthetic leg be damned.It works.
Big "NO!": Meredith gets one in the Season 6 Finale, when it seems as though Derek has died.
Big "Shut Up!": In the very first episode of Season 5, Cristina snaps at Meredith after coming to her one too many times with relationship woes:
Cristina: "So please, please, please, as you weigh your options here, just, you know, consider the possibility... of shutting the hell up!"
Break Her Heart To Save Her: Owen fires Teddy, who is planning to stay at Seattle Grace rather than taking a better job, because he's having a hard time and she wants to help him through it.
Lexie tends to lead the pack on this, though she's far from the only one. Recently lampshaded by Meredith, who worries about her emotional strength.
April is the latest victim of this. In spades.
Most recently, Arizona.
Cassandra Truth: One elderly patient complained of pressure in her chest for years, but everyone thought it was just in her head. Turns out her previous surgeon (Dr. Burke) left a towel inside of her.
Character Filibuster: In earlier seasons, this happens once or twice. Per episode. In later seasons, however, this is generally limited to Meredith's voiceover narrations, which play over a series of scenes beginning or finishing each character's episode storyline.
Notably averted by Isaiah Washington, who plays Dr. Burke. Washington was fired from the set for making homophobic comments towards T.R. Knight (George O'Malley), who is gay in real life. This was worked into the script: Burke leaves Cristina at the altar and doesn't even have the guts to come back to get his own things, sending his mother in his stead.
Season 5 ended with two characters (George and Izzie) on the brink of death. During the summer hiatus, it became common knowledge that one of those actors (George's) has not had their contract renewed... and sure enough, when Season 6 picked back up, that character had died.
The previews for season 8's finale promised that one of six doctors would die in a 'plane crash. Since the actors for Meredith, Derek, Cristina, and Mark were all confirmed to have contract renewals prior, that meant only Lexie or Arizona could fit this. It turned out to be the former.
Zig Zagged two episodes later when one of the renewed-contract characters (specifically, Mark) checked out after only two more episodes.
Contrived Coincidence: Dr. Webber has a relationship with a Meredith's mother, who later suffers from early-onset Alzheimer's Dementia and lives in a nursing. A few years after said woman dies, his wife also gets AD at a pretty young age. She later ends up in a nursing home and dies as a patient at Seattle Grace.
Dark Horse Victory: The race for chief resident between Cristina, Jackson, Meredith, Alex. Owen, as her husband, is hesitant to even consider choosing Cristina and it looks like either Meredith or Alex. Alex screws up both their chances, though Owen hinted that he was strongly considering Alex. April, who no one takes seriously, is the one who wins and she is initially very bad at it.
Double Standard Abuse Female On Male: In the episode "Brave New World", a man is in the hospital with a nasty gash on his head because his wife threw the TV remote at him. As he gets stitched up, she mocks him and tells him that she'll divorce him as soon as he gets well. The doctor working on him doesn't even think to notify the police, and the scene is pretty much played for laughs.
Lampshaded and deconstructed late in Season 9 when boyfriend and girlfriend (Jo and Jason, AKA Chest Pecwell) get into a fight. Alex points out to the guy that, regardless of whether the girl hit first, the fact that the guy hit too is going to follow him forever. Via this blackmail he manages to persuade the guy from pressing charges... Which Derek immediately calls him on. (To Alex's credit, he also calls the girl on her actions the next chance he gets, though he may not have done so had Derek not chewed him out.)
Dr. Jerk: Dr. Stark, which surprised everyone since he was a pediatric surgeon.
Meredith acts like this in season 9, as she's going through a rough in the aftermath of the plane crash and having her best friend separated from her.
Early Installment Weirdness: In the pilot the five interns are four as Alex barely appears (there is a nurse who has more lines), the hospital is laid out differently (understandable for a pilot), the interns corridor where they hide is close to the action and has vending machines, no patients are admitted (later in the series we always meet patients at the door), the Grey House is a different house, Webber doesn't seem to know Meredith (in the very next episode he claims he helped change her diapers), no one says "Mc" anything (Cristina invents that meme in episode 2), Meredith's narration is actually a conversation with her mother, and in the second episode the pediatrics department is seen and they have light purple scrubs (two seasons later they have the same color as the surgery interns).
The credits sequence was cut in mid-season two. The teaser now ends with the title card, and the credits themselves run as subtitles under the second act.
The Eeyore: One episode of season 9 has a patient who is depressed about her situation, a gymnast who would never get full movement in her lower body, and makes everyone she talks to sad and cynical.
The serial killer whom Derek, Cristina, Owen, and Meredith treat in season 5. He tells Meredith that he sliced a woman's neck open one day because he had been fantasizing about it for a while... and then he decided he enjoyed it so much that he would slice open 4 other women's necks.
This is how Meredith perceives Addison the first time her character is introduced. Interestingly enough, after Addison gives up on Derek, leaves for LA, and comes back to Seattle to do a surgery she now is a brunette.
Fake American: Jo Wilson is played by an English actress, while Kevin McKidd is Scottish.
And Cristina is played by Canadian Sandra Oh.
Fake Guest Star: frequently. The show often treats its guest stars like starring characters (or promotes them).
Fanservice: The infamous scene of Sloan only barely wearing a towel.
Avery takes off his shirt at least once every other episode
First Episode Spoiler: The big twist of the Season 1 finale, that Derek is married, is old hat to pop culture, particularly now that his wife Addison has her own Spin-Off (Private Practice). Other big twists (such as the deaths in the Season 5 and 6 finales), are also spoiled, though to a lesser extent.
Teddy fell for Henry, whom she initially married just to help him get medical treatment.
Forgotten Fallen Friend: After the first few episodes of the sixth season, George is barely ever mentioned again. Though his mother shows up in a later episode and is treated like family by his former friends and wife.
From Bad to Worse: Intern Ross in season 9 working under Meredith accidentally orders the wrong test, as a result they don't find out her liver is failing until it is too late. The patient needed a liver transplant, but Ross ends up accidentally destroying the liver so they have to get a second one. When they get to the second liver, they see that is hasa mass on it. Subverted at the end, when a biopsy reveals that the second liver was actually fine and the patient survives.
Good Adultery, Bad Adultery / Sympathetic Adulterer: In earlier seasons, Derek cheats on Addison freely due to considering his marriage over (he caught her in bed with his best friend) and seemingly not caring to end it officially. Addison feels the same way, and defends his infidelity when it is mentioned to her.
Though he did tell her he never wanted to see her again and moved to a different state so it was pretty official. He also did later cheat with Meredith while was trying to make it work with Addison.
In the season seven finale, she gives an excellent speech on how she firmly believes the world is this way.
Groin Attack: at one point the Patient of the Week is a rape victim who, while in surgery, is discovered to have bitten off her rapist's penis. And when we say "at one point" we mean "the show's second episode." (Meredith has to carry the evidence around in a cooler until the authorities take custody of it.)
Has Two Mommies: Sofia, who is being raised by biological parents Mark and Callie and Callie's wife Arizona. Should her father ever get married, she'll have three. He has since been Killed Off for Real, so it's just two mommies now.
Head-Tiltingly Kinky: One Season Two episode involves a Patient of the Week whose pain medication is porn (with the flimsy justification of it resulting in the brain/body releasing endorphins). The girls watch a bit of one, and one of them remarks, "There's no way that can be comfortable," as they all tilt their heads to watch. Meredith's response ("Trust me, it's not") causes some surprised stares.
Hello Boys: An episode that aired after a Super Bowl started with female cast members showering. Turns out, George is dreaming. It ended the same way, only Izzie and Cristina were cleaning the remains of the Bomb Squad guy off Meredith, with George watching.
Heroic BSOD: Recovering from this is Owen's major character arc. Derek in Season 5 after accidentally killing a pregnant woman. Such a strong BSOD that he passes it on to Callie and Owen. Then Derek (again) and Cristina in Season 7 and 9.
Alex, who was unable to take elevators after the season 6 finale events until Richard persuades him to do so. Granted, he almost bled to death inside of one. Plus, let's not forget that he freaked out way back in the first seasons of the show while he was trapped in a elevator with O'Malley and a patient who he was unable to operate. If you take that history into account, it's no wonder Alex doesn't want to climb into one anymore.
Actually, he failed his boards in season one, and was forbidden by the chief to perform any medical procedures for a week or so until they organized a make-up test. That's why O'Malley got rid of his 007 status. Karev was sore 'cause he was no longer considered a lean, mean, surgical machine for a while, but he was hardly traumatized by it.
Heroic Sacrifice: A man comes into the ER after saving a woman by pushing her out of the path of an oncoming bus. His face is disfigured, so it takes a while for the doctors to find out the victim is George.
Hide Your Pregnancy: The reasoning behind Meredith's liver transplant storyline in Season Six–it was a procedure that would require a lot of bedrest for the character and to get Ellen Pompeo off her feet in real life (Shonda Rhimes has stated she was very pregnant whilst those episodes were being filmed).
Also Chyler Leigh (Lexie)'s overeating during Season 5. It was a bit of an in-joke with the cast.
Jessica Capshaw's pregnancy is hidden in season seven. There was one scene where they failed in the premiere, but they're mostly filming her from the chest up and hiding her behind clipboards. They then sent her character to Africa.
Sarah Drew's pregnancy was also hidden in season eight, since her character was a virgin. Jessica Capshaw's third pregnancy is being hidden in season eight, too.
Idiot Ball: Oh, not that often, but sometimes on this show...
How about Meredith thinking that the chief being a drinking alcoholic while operating on patients isn't "a big deal" and that it shouldn't cost him his job?
It's understandable that George, in a moment of grief, might propose to Callie. It's a bit less understandable why she would think that a couple of days after the death of his father would be a great time for a Vegas wedding.
I Know You Know I Know: Meredith is pregnant, only she doesn't want to tell anyone yet (not even Cristina) because she thinks she'll jinx it if she gets too optimistic. Though Cristina already knows this. And Meredith knows Cristina knows. And Cristina knows that Meredith knows that she knows. Mind Screw
Improbable Age: The actors playing Meredith, Alex, George and Cristina were all somewhat older than the average intern in the first season (by nearly a decade in Ellen Pompeo's case). Not impossible by any means but a little improbable. Averted by Izzie - Katherine Heigl actually was twenty-six when the show started.
Cristina has a PhD as well as an MD so she would be older than the average intern since she has four to six (depending on a MA and what program she did) more years of school.
The Intern: A whole bunch of them. Only temporary, though, and then they promote.
Introduction By Hookup: The day before Meredith starts her new job as a surgical intern she has a one night stand. The next day she finds out her partner, Derek, works as an attending at the same hospital.
Irony: The Season Six Finale has two significant examples.
Dramatic/Tragic: During the spree killing, type 2 Dogged Nice Guy Charles Percy, who is dying of a gunshot wound, asks Dr. Bailey to find Reed after everything is over and tell her about how he'd loved her all this time. Unknown to both him and Bailey, Reed was in fact the first person to die when the shooting started.
Situational: The shooter, Gary Clark, brought along a flask filled with vodka, just in case he needed some "liquid courage"; leaving some ammunition behind instead. As he explains:
Gary Clark: "The funny part is, I didn't need a drink until now. Right now. And the only reason I need a drink is because… I've only got one bullet left. (laughs) I left bullets at home because I thought I'd need a drink, and I only reason I need a drink because I don't have enough bullets!"
It Never Gets Any Easier: Although, in part, it can be excused by the fact that the people who tend to die are the people the protagonists cared about in the first place.
After McDreamy broke down, he was shown a pile of those whom he killed and those whom he had saved. The ratio was 10:1, dead to alive.
So far, we've had Meredith's mother (more than once), father, and stepmother. The latter two are also Lexie's parents, so they get bonus points on that one. We've also had George's father, Izzie's daughter, and Alex's brother. Plus Meredith's friend Sadie Harris, and Meredith's mother's scrub nurse. Oh, and Dr. Webber's niece, and Addison's brother. And Dr. Webber's wife, Adele, Bailey's son and husband, Meredith and Lexie's youngest sister, and Izzie's love interest, Denny Duquette. This is all even without counting the times the characters themselves needed to be operated on. So far, we've had Meredith (more than once), Cristina, George, Izzie, Alex, Dr. Webber, Derek, Dr. Burke, and Owen Hunt.
And in season 8, even though George is dead his mom drops in.
Cristina, too. She graduated from Stanford and also has a PhD.
Jerkass Ball: Meredith in the season 9 premiere. Somewhat justified considering her sister just died, her husband has a hand injury that might compromise his career, and her best friend is halfway across the country and they are unable to visit each other. However, this gives her a Bailey-esque reputation with her interns.
Jerkass Has a Point: Alex has the absurd capacity to tell the truth in the most offensive way possible.
Law of Inverse Fertility: Addison gets pregnant while she's cheating on her husband. She ends up getting an abortion. She then decides to have a child of her own, and finds out getting pregnant is practically impossible. This carries over into Private Practice. Meanwhile, after having a miscarriage, Meredith is unable to conceive when Callie and Cristina (for the second time) learn they're pregnant.
Left Hanging: Unusual for Grey's, the Season 8 Finale, one of the periodic "disaster" episodes, leaves many loose ends over for the next season the incident wasn't even resolved, and the first two episodes of Season 9 were dedicated to showing the aftermath.
Lets Wait Awhile: Erica and Callie agree to wait before having sex because they are unsure they're ready to have sex with another women. However, in the next episode, in what is assumed to be another date, they have sex.
Limited Social Circle: For a major hospital, the important cases—and the twisty relationships— all seem to occur in the same corner of the surgery department. Occasionally lampshaded, such as with Derek's "junior varsity" shadow, who we only meet once and whose name none of the main characters can remember.
This could be expanded to the hospital itself which seems to only have a surgery department, to the point where the chief of surgery is the head of the entire hospital. Each department only seems to have one attending. This is most notable in the case of orthopedics. Callie is the only ortho surgeon we've met, despite her being a resident at the start of the show. A mere three years out of residency she is now effectively running the department. Another one was mentioned, though he seems to have retired.
Loads and Loads of Characters: Started with "only" nine characters in the credits, topped out at fourteen, and is frequently supplemented by Fake Guest Stars. Some Season 9 episodes have had credits that span the length of the entire second act.
Long Runner: The series is on it's 9th season and will very likely have a 10th.
Love Dodecahedron: George loves Meredith, who loves Derek, who can't decide whether he loves Meredith or Addison, who also is still in love with Derek, but at one point was in love with McSteamy, who hit on Erica, who made out with Callie, who was love with George, who had an affair with Izzie? Let's just say that the gurneys in this hospital are rarely free to actually hold patients.
The Izzie-Alex-Denny and Meredith-Finn-Derek love triangles and Addison/Alex relationship add further complications.
Lower Deck Episode: Season 9's "Love Turns You Upside Down" focuses on the interns. They're contrasted with major characters who started the show as interns but are now attending surgeons.
Luke, I Am Your Father: In Season 2 Episode 24, "Break On Through", Izzie mentions to a pregnant teenager she's treating that she feels she can empathize with her, as she also got pregnant as a teenager. That child later shows up as a young leukemia patient, who needed a bone marrow transplant. Izzie donates anonymously and leaves the girl with her adoptive family. Meredith also gets a "Luke, I Am Your Stepmother" moment.
Luke, You Are My Father: In Season 6, it turns out Dr. Sloan has an 18-year-old daughter... named Sloan. Slightly subverted in that they knew about the pregnancy, but ended the relationship and he assumed there was an abortion.
Mama Bear: Dr Bailey shows shades of this towards her five interns specifically when Cristina needed surgery to remove a the fetus and a fallopian tube due to an extrauterine pregnancy and when George got hit by a bus and died.
Mandatory Motherhood: Averted by most of the main cast, but zigzagged with Callie and Arizona; the former wants children and the latter doesn't. They eventually break up over it. However, in the Season Six Finale, all the recent carnage makes Arizona rethink her position and decide that not having kids wasn't worth not being with Callie. Callie comes to the same opinion, and tells Arizona that not having kids isn't worth losing her, but Arizona overrides her and tells her she can't live without her and their ten kids.
Adele leaves Richard because of this (though the whole "Ellis Grey affair" really didn't help).
Bailey's husband Tucker divorced her because she's spending too much time at the hospital, you know, saving lives. She fears this will happen when she marries Ben, though he assures her it won't as he is also busy with work, quitting his job as an anesthesiologist to study medicine and eventually become a surgeon.
Mauve Shirt: Falling in love with patients usually isn't a good idea.
Meredith has a habit of nicknaming the men she finds attractive.
Cristina starts naming her interns after the names of The Seven Dwarfs or names that are close enough. The interns themselves do this, such as calling Meredith "Medusa" and Bailey BCB (Booty Call Bailey).
Not So Different: Alex and his new intern Jo who he calls "princess" because he thinks she's rich and spoiled. It turns it that, like him, she spent most of her childhood in various foster homes and had to work hard to get where she is. Cristina also realizes that Dr. Thomas and her are a lot alike.
Only Mostly Dead: Invokes this far too often for a Medical Drama. First with Meredith who drowns, then with Izzie who codes in the season 5 finale, then with Derek who gets shot in the chest, zig-zagged with Mark, though, who fades in and out while stranded in a forest for days, only to die once he's taken off life support.
Christina (describing time in the forest}: Mark kept dying...it was so annoying
Old, New, Borrowed and Blue: In the Season 5 Finale, when Meredith and Derek decide to get married, Cristina gives her an old grocery list, a new post-it, and her favorite blue pen (which also counts as borrowed, since she wants it back).
Only Sane Man: Dr Bailey is the only member of the cast who never seems to forget that she's a doctor, not an eighth grader. The Chief also often seems like he's visiting from a normal universe.
Plot Time: In reality, mergers are extremely tedious and time-consuming. Even two small organizations (like hospitals) should take weeks or months, as their respective owners will need to do their due diligence, review each other's financial statements, negotiate terms, consult lawyers, etc etc. In the world of Grey's Anatomy, a merger can be decided on after one meeting with the board, and announced only days later. Though in all fairness they took a large chunk of the fifth season speculating about it.
Seasons 1 through 3 supposedly cover a one year span, with Season 3 covering prom time to med school graduation time, a whopping 3 months. The beginning of Season 4 to the beginning of Season 6 equates another 10 months, though Season 6 may actually be a year, given that a number of episodes elapse weeks in time (including one that features Thanksgiving, Christmas, and New Year's all rolled in one).
It does however make you wonder how Bailey managed to mentor the interns for quite a while, then get pregnant, give birth, take maternity leave, return and mentor the interns for quite a while... in a span of ten months.
Season 9 has veered practically into Timey Wimey Ball territory with this trope. In the premiere, someone dies and gets an epitaph closing card: "MarkSloan, 1968-2012." The same episode has videotaped flashbacks to other moments in the deceased's life, including a wedding marked "2009"—though the episode that depicted this wedding aired in May 2011. In the second episode (itself a Whole Episode Flashback), Meredith claims to Cristina that they first met (in Season 1) five years ago.
Precision F-Strike: When the new security system implemented after the shooting malfunctions and traps Dr. Avery and a patient in a hallway, Teddy, who has spent a good season and a half being whiny about men, finally takes a level in badass and remembers that she was in the army, for Chrissake, and yells at the security guard to "open the FUCKING door." It's bleeped, though, because it's a special episode told in documentary form as cameras follow the doctors around.
Mark, in the same episode, says that since Derek was shot he finally understands what it feels like to be the families of their patients. "It feels like shit."
Promoted to Opening Titles: Of the original nine stars, only three have left the show. Meanwhile, something like twenty actors have managed to score this trope for themselves.
Put on a Bus: Done very often. Burke and Izzie would be the most notorious examples.
Reality Ensues: So the characters who won the lawsuit in season 9 are all set buy the hospital, only they don't have enough money. The investor they hoped to get last minute rejected their proposal on the grounds that none of them have any kind of experience running a hospital. When they get Richard, who has many years of experience as the chief, to help them out, the investor still rejects them because he just isn't that interested.
Rashomon Style: 6x06, an after-the-fact investigation into how a patient managed to be overlooked to death.
In a more direct version of this trope, Episode 9x19 is a Very Special Episode involving a mother, played by Sarah Chalke, who is convinced her child has Kawasaki's Disease but can't get any doctors to listen. This is based on Chalke's own panicked experiences with getting a diagnosis for her son Charlie, and she essentially plays herself.
Meredith when Derek break up with her, which makes him jealous and tell her that she and Alex should get together, since he also likes to get around a lot.
Roaring Rampage of Revenge: Gary Clark's reason for shooting up the hospital in the Season Six Finale is to "be a man" for his wife, Alison, who had been a patient at the hospital and ended up being taken off of life support.
Romantic False Lead: Finn ("McVet") for Meredith, Addison for Derek, Julia for Mark. note He most likely would have ended with Lexie, had they not been written out.
Sassy Black Woman: Give it up for Miranda Bailey, everybody! Ironically, this appears to be the root of her nickname, "the Nazi." Goebbels and Eichmann were always giving each other the 'Z' snap, girl!
Debatable in Rhimes' case. She may have an ego, but being the creative force behind three successful shows gives her quite a big name...
Soap Opera Disease: Annoyingly common, given that this is supposedly a show about real medicine. Most obvious with Izzie's cancer.
Soap Opera Rapid Aging Syndrome: A subdued example in Zola, Meredith & Derek's adopted daughter. While the series is pretty vague about the passage of time and she's skipping months instead of years, it's still happening.
Status Quo Is God: Played straight in that no matter what, Dr. Webber always seems to end up being chief of staff, and Alex will inevitably undo his Character Development. Subverted in that Meredith and Derek have actually stayed married with less drama (compared to how the on-again, off-again relationship stage was).
Though Webber isn't the chief of staff anymore, Owen is, he keeps trying to retire but doesn't stick to it.
At the end of season 8, Meredith, Derek, Cristina, Alex, Jackson, and April are all preparing to leave Seattle Grace . As of the beginning of season 9, only Teddy and Cristina have actually left, and after five episodes in Minnesota, Cristina is back. Somewhat justified considering the repercussions of the plane crash. This was due to real-life circumstances.
No matter how many times April gets fired, it doesn't stick.
Stock Trailer Music: Whatever the sad and contemplative (e.g. The Fray's "How to Save a Life") popular song is at the time, chances are the trailer for the new episode/season will feature it.
Story Arc: The writing tends to follow this style, and usually, each character is involved in more than one per season.
Survivor Guilt: Alex, after the Season-8-finale plane crash—especially since one of the most-injured parties (Arizona) was there to replace him after he was his typical Jerkass self and backed out. It's made worse when Arizona tells Alex it's his fault.
Talking Your Way Out: In the Season Six Finale, Dr. Shepherd attempts this with Gary Clark, the hospital shooter. And fails. It works for April Kepner, though. It also worked for Callie on behalf of herself, Arizona, and a child with a ruptured appendix.
Izzie and George, finally free to sleep with each other without commitments (like his wife) looming over their heads, find that the chemistry has disappeared, and no matter how hard they try, it isn't any good.
In the two-part finale, boyfriend-and-girlfriend brain-tumor patients, facing a risky experimental treatment, enlist Meredith and Derek to stand guard while they indulge in pre-marital shenanigans.
The Three Certainties in Life: The title character once remarked, "In life only one thing is certain, besides death and taxes... No matter how hard we try, no matter how good our intentions, we are going to make mistakes."
This Is Unforgivable: After finding out Meredith messed with the Alzheimer's trial, Derek tells her that he will never forgive her and that he can't raise a child with someone who doesn't know right from wrong. He, of course, forgives her a few episodes later.
Time Skip: one after each Wham Episode (Season 6 finale, Season 8 finale). Typically followed up by at least one Flash Back-centered episode covering some of what was lost.
Happens in the first episode of season 9 with Mark's death and the second episode explains what happened between then and the last season finale.
Token Minority: Averted; blind casting was used for most all of the characters, as there were no racial specifics in the pilot episode. The only change that was made was that Cristina's character was given a Korean last name.
Too Many Babies: Several season 2 episodes are centered around a mom who chose to keep all 5 of her babies, even though the doctors had recommended she have 1 or 2 of the fetuses terminated.
True Companions: Not very apparent at first view but it's definitely there. Especially when everyone cooperates to let Callie see her daughter.
As the hospital creeps closer to bankruptcy in Season 9 it becomes more evident. Five characters enter into a conspiracy to save the hospital, with the other six stars left in the dark; but the instant they hear about it, they forgive the troubles caused thereby and join the effort.
Unequal Pairing: Quite a few. An Attending dating an Intern or Resident is treated as a serious issue in Season One, but in later seasons it is par for the course.
Verbal Tic: "She has my McDreamy, she has my McDog, she has my McLife." Will you McShut Up Already?
The Season Two Finale, a three-part episode that begins with multiple gunshot injuries arriving at the hospital after a disgruntled employee attacks his place of work. The first of three parts end with Izzie cutting the LVAD wire in an attempt to get her ill boyfriend at the top of the transplant list. "[Heart surgeon] Burke will be here soon," she promises... just as the gunman shoots Burke down. And that's just the first Drama Bomb.
The Season Six Finale. Looking it over, there were only two characters that were never in direct mortal danger: Teddy Altman and Mark Sloan.
The Season 8 finale: Lexie's death, Owen firing Teddy, and—oh yeah—the plane crash, with five main characters stranded in the middle of somewhere-between-Seattle-and-Idaho, all of them injured.
The Season 9 premiere. Meredith and Cristina are cut off from each other, save FaceTime, because neither of them can stand to take plane trips anymore. Derek's injuries have resulted in his left hand going numb, which may do nothing less than end his career as a surgeon. Arizona's broken leg had to be amputated—by Alex. Mark has reached the end of his living will and is taken off life support. And Meredith has transformed from Grumpy Bear into full-on Broken Bird.
What Happened to the Mouse?: The Season 8 finale involves a plane crash, and the plane's pilot is a character. It takes several episodes of Season 9 before he's even mentioned again (he broke his back in the crash and is paralyzed. This information comes to light when one of the lawyers representing Seattle Grace Mercy West suggests suing a number of people and organizations, including the pilot, for the plane crash.
Also in the character of Dr. Stark. When Arizona comes is rehired it's with the express understanding that she will report to him and then we have exactly one episode of them coming into conflict before he disappears and she's right back to running the department with never a word about him.
Dr. Russell, who has had three scenes since Cristina came back and has told her that she will run the cardiothoracic surgery department in all but name. She certainly does!
Alex gets one after telling the chief that Meredith was tampering with the Alzheimer's trial, which gets her (temporarily) fired. What she did was illegal and ruined her husband's credibility, though he's seen as being more in the wrong because she was trying to help a friends and he told on her out of spite and to ruin her chances of becoming Chief Resident.
Owen gets one from Meredith after he cheats on Cristina.
Richard gets one from a staff member from the nursing home calls him out when he stops visiting his wife.
Alex gives one to Meredith and Cristina in Season 9: the plane crash lawsuit, followed by their resignations, are threatening to drag the hospital under.
Why Waste a Wedding?: Meredith and Derek seemed finally ready to tie the knot, but opted out so the cancerous and dying Izzy could marry Alex before she became too weak to walk down the aisle.
Will They or Won't They?: They Do - Meredith and Derek, Callie and Arizona. Izzie and Alex, but she was Put on a Bus. Mark and Lexie don't. Cristina and Owen have recently gotten divorced, but this if anything seems to have strengthened their relationship. April and Jackson have also started this.
Owen. Cristina suspects he is cheating on her with a nurse (Summer Glau), but he assures her that it isn't the case. Double subverted, when it's revealed he did cheat on her with someone who is notSummer Glau (which just makes him really stupid).
George's girlfriend Olivia had been cheating on him with Alex, and he finds this out when he's diagnosed with syphilis. George later cheats on his then-wife Callie with Izzie.
Dr. Webber and Meredith's mother, who were both married to other people at the time.
In season 8 Dr. Webber finds his wife Adele is with another man at her nursing home. Justified since her dementia has advanced to the point where she barely remembers her husband anymore. Richard decides to let her go and starts dating Catherine Avery, though he and Adele remain married. He feels guilty about not seeing his wife after her death.
Addison cheated on Derek with Mark, which is the reason why he left her. He cheated on her with Meredith when they got back together.