Face transplant: The surgery Sloan performs was also performed in France, on a woman named Isabelle Dinoire who had part of her face bitten off by her daughter's golden retriever with impressive results.
In this episode it becomes noticeable that the producers are trying to hide Chyler Leigh's real-life pregnancy. In patient rooms, "Lexie" is always standing behind the other interns or behind the family and friends of the patient. The camera angles in the OR are above the waist. She and Mark have conversations at the counter of the nurse station which blocks her belly. The most noticeable efforts are when she enters the room with the face transplant patient. On several occasions she is carrying large scans, or multiple medical charts at her waist.