Surgeons aren’t complacent people. We don’t put our feet up. We don’t sit still. Whatever the game is, we like to win. And once we win, we get a new game. We push ourselves; residents, attending. It doesn’t matter how much we achieve. If you’re a climber there’s always another mountain. They take pictures of mountain climbers at the top of a mountain. They’re smiling, ecstatic, triumphant. They don’t take pictures along the way cause who wants to remember the rest of it. We push ourselves because we have to, not because we like it. The relentless climb, the pain and anguish of taking it to the next level. Nobody takes pictures of that. Nobody wants to remember. We just wanna remember the view from the top. The breathtaking moment at the edge of the world. That’s what keeps us climbing. And it’s worth the pain. That’s the crazy part. It’s worth anything.
A patient who needs an extremely difficult surgery comes to Seattle Grace, and it's Richard and Owen who vie for the opportunity to tackle it. But the decision lies in the hands of Derek, who deems that Owen should take on the surgery, leaving Richard bitter. Meanwhile, Bailey deals with her own personal struggles when she nervously prepares for another date with Ben.
This episode's title originated from the song Push, originally sung by The Cure.
This episode scored 10.94 million viewers.
The computer Richard used while convincing Cristina to switch sides uses the Windows 7 operating system.
Chandra Wilson originally wasn't supposed to be directing this episode, but was asked to do it when the director fell out. This made it a very busy time for her, as there where a lot of Bailey scenes in the episode. Therefore, schedules were rearranged so she could do the acting parts in the morning and be directing for the rest of the day.