Photo Credit: ABC
It's been nearly six months since the shooting, so a documentary film crew comes to make a special on how the hospital and the doctors who were working that fateful day are doing. The entire episode is seen as if we're watching the creatively-named Seattle Medical documentary special. They of course just happened to be there filming at the same time that there was a groundbreaking surgery happening: Derek, Mark, Owen and Callie are doing a double arm transplant.
As Callie and Lexie are tending to the donor, they realize that there's potential disaster in the form of a small tattoo on one of the guy's forearms. But the recipient and his wife have no problem with it -- they want to do everything they can to help make this work -- and so the surgery goes on.