As a part of streamlining daily operations, Dr. Cahill puts in new cameras in the hospital. Derek and April work together to find a way for the hospital to keep the ER open. Meredith, Bailey, and Richard are given a class on a new technique for hernias, only to learn that the new policies put the number of procedures before patients. Dr. Cahill assists Owen with the case of the ER's final patient. Cristina and Leah work on a young man who is critically injured, but is not given a blood transfusion due to his beliefs as a Jehovah's Witness; Leah is reprimanded when she tries to give him blood in an attempt to save his life. Arizona, Callie, and Alex work on a young gymnast who is depressed following her double hip replacement. It is revealed that Dr. Cahill closed the ER because she's finding a buyer for the hospital.