Alex's decision to move to London with Rex is cemented by a poor report from one of the senior surgeons at her hospital, despite the fact he has never operated with her. Evan helps organise a farewell party for the couple while Kelly stands back, distraught that her best friend is leaving. The farewell do is a perfect night for the happy couple and they make the impromptu decision to tie the knot in a low key ceremony on the oft used roof of their apartment building. The episode also features a confession by Miranda to her boss Chloe, and Richie battling to deal with life as an out-of-work actor.