S6·E13 State of Love and Trust

Episode recap

In the thirteenth episode of the sixth season of Grey's Anatomy, titled State of Love and Trust, Derek Shepherd begins his tenure as the interim chief of surgery. His new leadership role is immediately tested when a patient under the care of Miranda Bailey and Meredith Grey wakes up while still under anesthesia during a surgical procedure. This medical complication creates the potential for a lawsuit, forcing Derek to navigate the administrative and legal challenges of his new position.

Elsewhere in the hospital, the professional dynamics between the staff continue to shift. Teddy Altman makes a firm decision regarding her surgical service, refusing to allow Cristina Yang to work under her. Meanwhile, Arizona Robbins evaluates Alex Karev by testing his capabilities within the Pediatrics department. Personal tensions also persist among the staff, as Mark Sloan maintains his distance from Lexie Grey, refusing to speak to her while she remains heartbroken. These events unfold against the backdrop of the daily professional and personal pressures faced by the medical staff at the hospital.