Now or Never (Grey's Anatomy)

"Now or Never"
Grey's Anatomy episode
George O'Malley (TR Knight) appears in a dream of Izzie Stevens (Katherine Heigl) after she flatlines. He is in his army uniform.
Episode no.	Season 5 Episode 24
Directed by	Rob Corn
Written by	Debora Cahn
Original air date	May 14, 2009 (2009-05-14)
Episode chronology
← Previous "Here's to Future Days" Next → "Good Mourning"
Grey's Anatomy (season 5) List of Grey's Anatomy episodes

"Now or Never" is the twenty-fourth episode and the season finale of the fifth season of the American television medical drama, Grey's Anatomy and the show's 102nd episode overall. Written by Debora Cahn and directed by Rob Corn, the episode was originally broadcast on the American Broadcasting Company (ABC) in the United States on May 14, 2009. The initial airing was viewed by 17.12 million viewers and garnered a 6.2/17 Nielsen rating/share in the 18–49 demographic. The episode marked the last appearance of series regular T.R. Knight who played Dr. George O'Malley who got into an accident during the episode and dies in the season 6 premier.

In the episode Cristina Yang (Sandra Oh), Alex Karev (Justin Chambers), George O'Malley (T.R. Knight), and Meredith Grey (Ellen Pompeo) are all sleeping and waiting for Izzie Stevens (Katherine Heigl) to wake up after the surgery. Derek Shepherd (Patrick Dempsey) comes up with an alternative treatment plan for Izzie, Miranda Bailey (Chandra Wilson) confronts Chief's Richard Webber (James Pickens Jr.) and Arizona Robbins (Jessica Capshaw), about the peds fellowship program. Yang deals with her relationship with Owen Hunt (Kevin McKidd) who helps George with career advice. The episode also focuses Meredith and Derek's post-it wedding.