Writer:	Kip Koenig
Director:	Jessica Yu
Star:	Ellen Pompeo (Meredith Grey),  Sandra Oh (Cristina Yang),  Katherine Heigl (Isobel "Izzie" Stevens),  Justin Chambers (Alex Karev),  T.R. Knight (George O'Malley),  Chandra Wilson (Miranda Bailey),  James Pickens Jr. (Richard Webber),  Kate Walsh (Addison Montgomery Shepherd),  Isaiah Washington (Preston Burke),  Patrick Dempsey (Derek Shepherd)
Recurring Role:	Kate Burton (Ellis Grey),  Jeffrey Dean Morgan (Denny Duquette),  Linda Klein (Nurse Linda)
Guest Star:	Rob Narita (Anesthesiologist),  Joyce Guy (Administator),  Becca Gardner (Bex),  Shannon Cochran (Lady),  Lauren Tom (Wife),  John Prosky (Author)

This is the last episode the opening credits sequence appear in. (edit) International Air Dates:
Bulgaria: July 10, 2006 on bTV
Australia: July 24th, 2006 on Channel 7.
United Kingdom: October 18th 2006 on LivingTV
Norway: November 7th 2006 on TV2
Sweden: November 7th, 2006 on Kanal 5
Germany: December 12, 2006 on PRO7
Croatia: January 29th, 2007 on NOVA TV
Finland: February 1st, 2007 on Nelonen
Italy: March 30, 2007 on Italia 1
Romania: June 5, 2007 on TVR1
Ireland: June 5, 2007 on RTE Two (edit) Music Featured In This Episode:
1. "Hide Another Mistake" by The 88s play when George and Izzie talk in the bathroom,
2. "One of These Days" by Kraak & Smaak plays when Meredith and Derek talk in the elevator,
3. "Ride" by Cary Brothers plays when Addison and George talk to Mr. and Mrs. Singleton about Bex's surgery,
4. "Break Your Momma's Back" by Slow Runner plays as Meredith asks Derek to tell her about the Alzheimer's program. (edit)

Bailey: Yang?
Cristina: You know what’s wrong with having an 80 hour limit? It protects the weak. It levels the playing field. Which not only sucks. It’s, it’s dangerous.
Bailey: 80 hour work week. That’s what’s on your mind? (Cristina looks down) I thought about it. Not keeping it.
Cristina: You did?
Bailey: My husband and I ... we tried for years but still when that stick turned blue ... Well you can’t work the way we work, you can’t want the kind of careers that we want and not take pause. I took pause.
Cristina: You paused?
Bailey: I paused. I paused for a very long time.
Cristina: So why did...
Bailey: I sat up one night. Middle of the night ... and I knew I could do this... I still don’t know how I’m gonna do this but ... I knew I could do it. You just have to know and when you don’t know then no one can fault you for it. You do what you can when you can, while you can. And when you can’t, you can’t. (edit) Bailey: Cristina, call Burke. I’m feeling some fairly extensive damage from coronary artery disease.
Cristina: Um...
Bailey: Yang? (Cristina walks over to the phone, scene switches to Burke answering the phone)
Burke: Talk to me, Bailey.
Cristina: It's me.
Burke: I can’t talk I’m waiting for a call from Bailey.
Cristina: I'm with Bailey.
Burke: You're in Idaho? (scene switches to Cristina)
Cristina: Yeah.
Burke: You're breaking the rules?
Cristina: Yes. (scene now switches to Burke. Webber is walking up to him)
Chief: Preston. What’s happening with our heart?
Burke: Hello, Dr. Webber. Tell me what I need to know about Denny’s heart, Dr. Bailey. (shows Cristina who has an 'oh, shit' look on her face) (edit) Cristina: Uh, hi. I heard that you were going to Twin Falls, Idaho. I’ve never been.
Bailey: You reach 80 hours?
Cristina: Technically.
Bailey: You’re off work Cristina. Go enjoy your day.
Cristina: I’ll enjoy my day if I can help retrieve a heart. Promise. (edit) Burke: So in the name of the new year...
Cristina: Oh, I don't do resolutions.
Burke: In the name of the New Year I thought you could give me an answer to my question.
Cristina: Your question?
Burke: About you ... moving in.
Cristina (sighs): I don't have an answer.
Burke: Cristina.
Cristina: I’m not being Cristina. I just ... I don’t have an answer.
Burke: Then answer me this. What were you planning to do?
Cristina: About what?
Burke: The baby. (the scrub nurse interrupts them, Cristina leaves and Burke looks upset) (edit) Meredith (voiceover): Who gets to determine when the old ends and the new begins? It’s not on the calendar, it’s not a birthday, it’s not a new year, it’s an event --big or small, something that changes us, ideally it gives us hope, a new way of living and looking at the world, letting go of old habits, old memories. What's important is that we never stop believing we can have a new beginning, but it's also important to remember amid all the crap are a few things really worth holding on to. (edit)

This episode does not have any trivia. Add some now!

Episode Title: "Begin the Begin"

"Begin The Begin" is the title of a song sung by the group REM. (edit)