Grey's Anatomy and Private Practice Wiki

The Face of Change

4,998pages on
this wiki
The Face of Change
Season 9, episode 14
Alex and Jackson work together on a transgender boy.
Episode Information

February 7, 2013

Written by

Stacy McKee

Directed by

Rob J. Greenlea

Episode Guide

Bad Blood


Hard Bargain

Change is a funny thing and not everyone can handle it. It can sneak up on you. Things aren't what they used to be. Your whole world has transformed. You realize the ground beneath you has shifted. Things are uncertain and there's no turning back. The world around you is different now, unrecognizable, and there's nothing you can do about it. You're stuck. Your future is staring you in the face and you’re not sure you like what you see. Like I said, I'm not big into change.

The Face of Change is the fourteenth episode of the ninth season and the 186th overall episode of Grey's Anatomy.

Short Summary Edit

Competition heats up as several of the doctors fight to become the new face of Seattle Grace. April brings in an emergency case, and Jackson and Alex work with a transgender teen couple. Meanwhile, the hospital implements new policies which test the patience of the staff.

Full Summary Edit

Episode in detail.

Cast Edit

  • Meredith Grey
  • Cristina Yang
  • Alex Karev
  • Miranda Bailey
  • Richard Webber
  • Callie Torres
  • Owen Hunt
  • Arizona Robbins
  • April Kepner
  • Jackson Avery
  • Derek Shepherd
  • Alana Cahill
  • Jo Wilson
  • Shane Ross
  • Heather Brooks
  • Stephanie Edwards
  • Matthew Taylor
  • Brian Weston
  • Jess
  • Mr. Weston
  • Larry and Amrita
  • Kenton Giles
  • Paramedic Nicole
  • Grant
  • Kan Mattoo
  • Dr. Boyd
  • Dr. Allen
  • Dr. Collier
  • Olivia Noel
  • ER Nurse
  • Admitting Nurse

Main CastEdit

Guest StarsEdit


Medical Notes Edit

Maya NoelEdit

  • Diagnosis:
    • Gastroschisis
  • Treatment:
    • Staged Silo Repair

Maya, 13 days, was born with her intestines outside her body. They had been pushing them in gradually, a little bit more each day. They were finally ready to close her up.

Brian WestonEdit

  • Diagnosis:
  • Treatment:
    • Bilateral mastectomy

Brian, 18, was in to have his breasts removed as part of his sex reassignment. The surgery went well and he was in recovery.

Julio PlantainEdit

  • Diagnosis:
    • Chest pain
  • Treatment:

Richard, under cover as Julio Plantain, claimed to have chest pain at a Pegasus hospital to check out the process there.


  • Diagnosis:
    • Sub-Q Emphysema
    • Pneumopericardiam
    • Tension pneumothorax
  • Treatment:
    • Rapid sequence intubation
    • Lactated ringers
    • Chest tube
    • Surgery
    • Lung resection
    • Splenectomy

The boy, about 10, was hit by a car and left in the street. He was supposed to be diverted to Redmond, but April assessed that he wouldn't make it there and they instead took him to the closed SGMW ER. After assessing him and stabilizing him in the ER, they took him into an OR for surgery, where they had to remove his spleen and part of one lung.

Music Edit

Song Performer Scene
"Turn It Around" Lucius
  • A photographer takes pictures of Alex during a photo session.
  • Cahill is giving Alex notes.
  • Jackson and Stephanie are kissing in Alex's living room.
  • Alex and Jo start imitating animal noises.
"Spotlight" Leagues
  • Cahill discovers fresh blood on the floor of the empty ER while showing around the Pegasus businessmen.
"Song For Zula" Phosphorescent
  • Alex and Jackson approach Jess with good news on Brian's surgery.
  • Jess talks to Mr. Weston about Brian.
  • Meredith talks to Alex about Jo and Alex possibly getting together.
  • Callie and Richard sit in the parking lot talking about Pegasus.
"Gun-Shy" Grizzly Bear
  • Matthew is complementing April and they share their first kiss, as Jackson and Stephanie walk by.
  • Jo and Alex eat pastry in a supply closet.
  • Cristina and Owen start making out in an on-call room.
  • Callie proposes to Meredith, Derek, and Arizona that they buy the hospital themselves.
  • Richard is confronted with a giant poster of Derek in the elevator.

Notes and Trivia Edit

Grey's Anatomy 9x14 Promo 1 "The Face of Change" (HD)01:37

Grey's Anatomy 9x14 Promo 1 "The Face of Change" (HD)

  • This episode's title originated from the song The Face of Change, originally sung by INXS.
  • This episode scored 8.91 million viewers.
  • The song that played in the promo for this episode is "Crash" by Sum 41.


Episode StillsEdit

Behind the ScenesEdit

Quotes Edit

Meredith: And why are there no women in the running?
Cristina: Oh, there was. I turned them down. This face only goes on the nobel brochure.

Callie: Hey, look at this. "Hand in hand, we'll walk together, partners on the road to your brighter tomorrow." This is who's buying us.
Arizona: That's a cute logo. Sofia would like it. She likes horses.
Callie: It's not a horse. It's a pegasus. And it wants to hold your hand.

Shane: I don't like that guy in the back. I can feel him watching me.
Heather: No, it's just me. I like to look at you.

Jo: Medusa me all you want. You're not getting in.
Meredith: I'm an attending and I'm ordering you to let me in.
Jo: Well, you're not my attending today, so...
Meredith: Don't make me force you.
Jo: I'd like to see you try.
Jackson: Jo. It's okay. I paged her. She's cool.
Jo: I hope you understand I would never ordinarily speak to you that way and I look forward to working on your service again soon.

Alana: That stuff you said, Dr. Shepherd, about how this hospital is such a family? It was lovely, really. I even think you meant it. But it means nothing if there is no hospital. Do you know how much this stunt would've cost this place if that kid had died on our watch? Pegasus would've backed out. And without them, you're done. I am trying to help you. But I can't do that if you are undermining me at every turn. If you care anything about this hospital or the people in it, then it's time that you get on board. Otherwise the next doors to close will be yours.

Richard: It's funny how you don't appreciate a thing until you're about to lose it.
Callie: No. No, don't... don't say that. That's... we can still fight this.
Richard: You can fight this. Me? I've got an early retirement package waiting. Maybe I'll take it.

Callie: I called this meeting because we can't just keep our heads down and lay low. Okay, we're the reason the hospital's in trouble. We have to do something. We can't let Pegasus take over. We have a responsibility. Which is why I think we should buy the hospital ourselves.

See AlsoEdit

A complete overview of this episode's crew can be found here.

Around Wikia's network

Random Wiki