Written by Stacy McKee and directed by Jessica Yu, the episode aired on the American Broadcasting Company (ABC) in the United States on November 5, 2009.
Alex Karev (Justin Chambers) uses unconventional methods to stabilize a premature baby, while Cristina Yang (Sandra Oh) grows frustrated with her lack of surgical opportunities.
The episode opens with a voice-over narration from Meredith Grey (Ellen Pompeo), highlighting the emotional weight and responsibility surgeons carry, particularly when treating children.
Arizona Robbins (Jessica Capshaw) is stunned when the parents of her long-term patient, Wallace Anderson (Khamani Griffin), offer the hospital a $25 million donation to ensure their son receives the best possible care.
Despite the high stakes of the donation, Arizona remains optimistic about Wallace's condition and agrees to perform a critical surgery that she hopes will save his life.
Feeling the pressure of the impending merger with Mercy West, Callie struggles with self-doubt but finds support in her girlfriend, Arizona, who encourages her to be confident.
Entertainment Weekly's Jennifer Armstrong gave a positive review of the episode, calling it an "emotional buildup" and stating, "Even Grey's Anatomy itself knew it had reclaimed its name with this one.
"[6] Steve Marsi of TV Fanatic echoed this sentiment, adding that the absence of Meredith Grey (Ellen Pompeo) and Derek Shepherd (Patrick Dempsey) relationship didn't detract from the episode and praising the dynamic between Arizona and Callie Torres (Sara Ramirez), saying, "They're just a great, believable, and enjoyable couple to watch on screen.