Grey’s Anatomy

After fifteen eld , Alex Karev ( Justin Chambers ) has leftGrey ’s Anatomy .   He was one of two original interne remaining on the show , the other being Meredith Grey . His departurewas both unexpected and , of course , tear - jolt .   Over the past fifteen seasons , we ’ve seen Alex grow from a headstrong roughneck into an awing protagonist , uncle to Meredith ’s tike , and pediatric operating surgeon .

He ’s had many relationships , two wife , and ( it seems like ) a million one Nox stands .   We do n’t know if we ’ll ever see Alex again on screen , but even if we do , he wo n’t be a series regular again .   In luminousness of his departure , let ’s plunge in and look at some things we never bring forth to see this Iowa wrestling sensation do .

Improve Pac-North

When this plotline was dribble , it should have been a ruby-red flag that Justin Chambers was on his way out ofGrey ’s Anatomy .   Despite Alex Karev taking a Chief of Surgery job at Pac - North and put to pay back the home up with a crew composed of bad Pac - North doctors , Richard Webber , and ( almost ) Maggie Pierce , the hospital ended up being buy by the Fox Foundation due to a difference of opinion between Richard and Catherine .   The resolution of this plotline was unrelated to Alex , and since his farewell episode only featured letters he write to specific people , we never even got to hear what he thought of the attainment of Pac - North .

Reignite His Africa Project

In an earlier season , Alex commence a project in which impoverished child with serious illnesses would be flown to Grey Sloan and pick up pro bono surgeries .   When the kid arrive , the hospital is overjoyed that Alex establish the money to pull off the giant task .

The hysteric wrench ends up being that Alex had no money at all he maxed out all of his credit cards and empty his economy account just to get the kids to Seattle .   One of those kids ends up being Zola , who Derrick and Meredith immediately begin to love .   The " Africa Program " as it ’s shout in the show is n’t mentioned again after this time of year , but since it ’s one of the most incredible thing Alex ever did , it would have been great to hear it being mentioned or , even better , to see it being continued .

Reunite With Arizona Robbins

Arizona Robbins , played by Jessica Capshaw , condition Alex Karev to be a pediatric surgeon , and right before she left he was really mad at her for leave .   Ironically , Arizona also left the show to make her family whole by living in the same urban center as Callie so Sophia could have two moms .   It ’s even implied in her last vista that she and Callie got together again off - sieve .   Since Arizona ’s ending so nearly resembled Alex ’s , it would have been especially nice to see her return before Alex left , perhaps to proffer him some classic Arizona wisdom .

Reunite With Izzie (On Screen)

Since Justin Chambers left of a sudden , he was n’t actually in his word of farewell episode .   Instead , the sequence consisted of him narrating several letters he commit to his favorite Seattle occupier .   In the first letter , Alex say Meredith that he reconnected with Izzie before her trial and acquire that Izzie had his children , two five - year - old Gemini .

As Alex reads the letter , we get some very bright lit clips of two minor running around blithely , jump out into bed to hug their parents , a blonde woman and a man with short chocolate-brown hair .   These actors were not Katherine Heigl and Justin Chambers , so their fount were never bear witness .   The fact that Alex left Seattle to be with Izzie truly brings his patch to a prosperous close , but it was thwarting to not get to see that .

Raise A Kid (On Screen)

In Alex ’s farewell sequence   fans get to see some unfeignedly cute images of his children dally , showing him toys , and just in the main being lovely on Izzie ’s farm .   A lot of Alex ’s plot of land involved him shedding his tough exterior and learn to let mass in .   Some of the first signs that Alex is becoming kinder happen when he part taking an interest in paediatric surgery .   Alex ends up becoming an unbelievable pediatric surgeon , and a set of that is because of the top-notch playfulness atmosphere he creates for his patients .   When Meredith becomes a mother , Alex is overjoyed for her .   It makes sense that Alex would leave Seattle to be a good dad to his kids , but we like a little more of that tarradiddle could have happened on screen .

Land A Board Seat

When Bailey won the Grey Sloan display panel seat , it seemed like that would be foreshadowing for some kind of redemption plotline for Alex , in which he strives to get a seat on the add-in .   ( Almost all of the other chief characters have seats on the hospital board as well . )

Despite being an first-class surgeon , and later an splendid Chief of Pediatric Surgery , Alex never seems to pursue a card seat again .   Since Alex is a fiber who comes from a deal of poorness , it would have been sweet to see him have such an acclaimed ( and profitable ) position in the hospital where he worked for fourteen years .

Wrestle

If you crave this one , you ’re a longtime fan ofGrey ’s Anatomy .   In the former time of year , Alex was a little obsessed with wrestling .   He was also a little obsessed with being " Iowa Strong , " a musical phrase that became iconic after a gunshot dupe from Alex ’s hometown comes into Grey Sloan with the same fervor for wrestle as Alex . Grey ’s Anatomyspent a mint of time watch Derek go angle ; it also spent a sight of time watching Christina and Meredith dance it out .   It would have been cool to see Alex hit the gym mat and show off some skills that had nothing to do with surgery .

Win A Harper Avery Award

The Harper Avery honor was such a repulse force of action in the earlier seasons .   Christina leave to another continent after losing the Harper Avery honor because she worked at a Harper Avery hospital .   Meredith by and by win a Harper Avery , and the present moment is so defining for her that she sees her long - dead mother in the audience smile in approval after she wins .

Though it ’s repeatedly mention that Alex is an incredible paediatric surgeon , fans of the show never get to see Alex win any award at all , let alone a Harper Avery .   Alex never quite tackled medicinal drug with the fervor that Christina and Meredith did , but there were a few seasons when he struggled to find a operative specialism or undertaking that would make him stand up out .   In the end , it was another plotline that was n’t have in mind to be .

Be Happy With Jo

Fans of the Jo / Alex pairing are likely still grieving after learn Alex ’s tragic letter to Jo Karev , his wife , and longtime partner on the show .   The letter , in which he called himself a coward several times , explain to Jo that he was ineffective to squeeze his kids to live a fatherless life without him .   Though many fans have pointed out that he could have asked Jo to go with him , Camilla Luddington was not almost as ready to leave the show as Justin Chambers was , and so the characters were split up .   Though many fans consider Alex was happier with Jothan he was with Izzie , Alex and Jo never truly savour a passive arc in their time together .   Seeing them work through their traumas and front their pasts together was beautiful , but the honeymoon definitely could have live on longer .

Say Goodbye To Meredith Face To Face

Richard Webber ’s famous first sequence speech warns the original radical of interns that not everyone would come through — that at the remainder of the journeying , those that remained would be few .   Fifteen long time later , Alex Karev and Meredith Grey were the only two original houseman still on the show .   Though the two ab initio hated each other , they stick in their brutal money plant and misrepresented humor .   After Christina leave behind Seattle , Alex and Meredith became each other ’s someone , aka good acquaintance .   In his goodbye episode , the author were able-bodied to spotlight his Sunday breakfasts with Meredith and her family , and how close he had gotten to Meredith ’s kids .   Alex ’s letter of the alphabet to Meredith was beautiful , but it ’s lamentable she did n’t get to answer in real - time to what he had to say .

NEXT : Grey ’s soma : Top 10 Fan Favorite Characters , Ranked

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Alex Karev looking serious at the hospital on Grey’s Anatomy

Alex in Grey’s Anatomy

Jessica Capshaw as Arizona Robbins in Grey’s Anatomy

Izzie and Alex embracing at their wedding in Grey’s Anatomy

Izzie Stevens and Alex Karev in Grey’s Anatomy.

Alex before getting arrested

Justin Chambers and TR Knight in Grey’s Anatomy - For entry Alex reveals Callie’s infidelity

Meredith wins the Harper-Avery Award in Grey’s Anatomy.

Camilla Luddington and Justin Chambers as Jo Wilson and Alex Karev in Grey’s Anatomy

Ellen Pompeo in Grey’s Anatomy - For entry GOOD Meredith helps Alex study

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