Given that smile on Derek's face, we hope that means good news for the patient on Grey's Anatomy.
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With so much going on at work and at home, in the operating room is probably the place Derek feels most at ease on Grey's Anatomy.
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There it is. There's that Derek Shepherd smile we've all grown to love.
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Congrats to Cristina! She's been nominated for a Harper Avery!
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The only couple on this list who actually hooked up prior to the series ever starting, Grey's Anatomy kicked off the morning after Meredith and Derek went home from a bar together. Sure, he was married at the time - but that technicality was no match in the end for (sorry we have to say it...) the McDreamiest pairing on all of television.
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Whatever's going on, Derek looks very serious on Grey's Anatomy.
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When someone falls to the floor, Derek and Owen fight to save a life in "Do You Know?"
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It's like Derek is smiling into our soul in this Grey's Anatomy image, isn't it?
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Unfortunately for McDreamy, Meredith may be the one person who isn't awed by his big news in "Take It Back"
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Everyone wants Derek, even the President of the United States is giving him a call on Grey's Anatomy.
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Derek gets an offer that could change everything on Grey's Anatomy. "Get Up, Stand Up" is the 12th episode of the show's tenth season.
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Derek had to bring the baby in to work on Grey's Anatomy. "Get Up, Stand Up" is the 12th episode of the show's tenth season.
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Grey's Anatomy Quotes

MEREDITH: "You don't get to call me a whore. When I met you, I thought I had found the person that I was going to spend the rest of my life with. I was done! All the boys and all the bars and all the obvious daddy issues, who cares? I was done. You left me. You chose Addison. I'm all glued back together now. I make no apologies for how I chose to repair what you broke. You don't get to call me a whore."
DEREK: "This thing with us is finished. It's over."
MEREDITH: "Finally."
DEREK: "Yeah, it's done."
MEREDITH: "It is done."

There's a reason I said I'd be happy alone. It wasn't 'cause I thought I'd be happy alone. It was because I thought if I loved someone and then it fell apart, I might not make it. It's easier to be alone, because what if you learn that you need love and you don't have it? What if you like it and lean on it? What if you shape your life around it and then it falls apart? Can you even survive that kind of pain? Losing love is like organ damage. It's like dying. The only difference is death ends. This? It could go on forever.

Meredith