Grey’s Anatomy Season 18 Ending Explained - Every Question Answered

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Warning! SPOILERS for Grey’s Anatomy season 18, episodes 19 and 20 ahead.

Grey’s Anatomy season 18 ended with an intense two-episode season finale that tied up many season-long storylines – here’s the medical drama’s ending explained. While Shondaland’s long-lasting show was renewed for season 19, Grey's Anatomy season 18 delivered a two-part season finale that answered as many questions as it asked. In doing so, it set up season 19 with challenges fit for a final season should Grey’s Anatomy season 19 to actually be the show’s last. Here’s every question of the Grey’s Anatomy season 18 finale answered.

Grey’s Anatomy season 18’s main threat to Grey Sloan Memorial Hospital was its residency program being shut down, but that wasn’t the only development reaching a turning point in Grey’s Anatomy season 18's finale. Meredith’s (Ellen Pompeo) decision in Grey's Anatomy to leave the hospital to pursue a life and career elsewhere caused many problems for Grey Sloan. It proved to be somewhat contentious for Meredith herself, as she was pushed to that decision without having thoroughly thought it through. Finally, Owen (Kevin McKidd) and Teddy’s (Kim Raver) study on providing end-of-life care to veterans whose failing lungs were a result of the military mismanaging burn pits became an issue as their involvement in stealing drugs to give veterans to offer a less painful death came back to haunt them.

Related: Grey's Anatomy Has Made Grey Sloan Meredith's Prison

All these major Grey’s Anatomy season 18 storylines were carefully intertwined in the show’s season finale with the doctors’ bid to save the hospital’s reputation. Grey Sloan Memorial’s historical residency program was as much part of the fabric of Grey’s Anatomy as a show