The pressure is on as a determined Bailey tackles her first day as Chief; meanwhile, April's marriage to Jackson is in jeopardy and she finds herself unable to address her problems; Meredith struggles to juggle all her responsibilities and Amelia works to define her relationship with Owen.

Owen teaches an important lesson to the interns regarding breaking bad news to patients' loved ones. Meanwhile, Arizona's elderly patient tells her not to give up on finding love; and a dinner party gets off to a bad start when the hosts forget about it.