Fitz and Ming talk about their imminent insemination plans. Fitz tells her that since he's decided to stay in Toronto and work at Mercy, he'll understand if she changes her mind. But she still wants to go forward even though she knows it will be uncomfortable for everyone. Their plans incite the doctors to reflect back on their early days as residents in the hospital and and the professional and romantic rivalries that took root.

Ming finally sees her dream of being a mother come true, though the donor plans she and Chen made with Fitz undergoes some changes. Through this, Fitz learns how to love and be loved, and Chen feels confident to pursue a writing career.