Alex Karev

Alexander Michael Karev
Grey's Anatomy character
Justin Chambers as Dr. Alex Karev
First appearance	"A Hard Day's Night" 1x01, March 27, 2005
Created by	Shonda Rhimes
Portrayed by	Justin Chambers
In-universe information
Nickname	Frat Boy Evil Spawn
Title	M.D.
Occupation	Surgical Resident at Seattle Grace Hospital
Spouse	Izzie Stevens
Relationships
Romances	Lexie Grey Rebecca "Ava" Pope Addison Montgomery Olivia Harper

Dr. Alexander "Alex" Michael Karev is a fictional character on the ABC television series Grey's Anatomy, portrayed by actor Justin Chambers. The character was not included in the original pilot script, but was added in after the pilot was shot, meaning initial scenes with him were either reshoots or digitally altered.

Storylines

Alex appears from the first episode of Grey's Anatomy, having secured a position in the surgical residency program at Seattle Grace Hospital after graduating from the University of Iowa. He initially makes a poor impression on his fellow interns, and taunts Izzie Stevens (Katherine Heigl) when he discovers she used to be a lingerie model. However, Alex goes on to reveal to Izzie that his father was a heroin addict who used to beat his mother. He became a wrestler so he could defend his mother, and attended university on a wrestling scholarship. He and Izzie begin a friendship. At the end of the first season, George O'Malley (T.R. Knight) contracts syphilis from Alex through nurse Olivia Harper, causing animosity between the two.

In the show's second season, Alex asks Izzie out in a date, but he is thrown by the news he has failed his medical board exams. He later freezes during an emergency operation, needing George to take over from him. Alex's relationship with Izzie is damaged when he experiences erectile dysfunction with her. He goes on to sleep with Olivia again, and when they are caught by Izzie, she breaks up with him. After retaking his exams, Alex manages a pass, and reunites with Izzie after a bomb scare in the hospital. They break up again, however, when Izzie falls for cardiothoracic patient Denny Duquette.

Alex spends a period of time working under neonatal surgeon Addison Montgomery (Kate Walsh, and though he is later released to work for plastic surgeon Mark Sloan (Eric Dane), he finds his interest returning to Addison's firm. Addison is attracted to Alex, and the two share a kiss and later sleep together. However, Alex refutes her further advances.

In the aftermath of a ferry accident, Alex rescues a pregnant woman from beneath a fallen pylon. She awakes with amnesia, and grows close to Alex who helps her forge an identity for herself, picking out the name Ava. After giving birth to her daughter, Ava's memory eventually returns, although she tries to hide it from Alex as she had recently left a bad marriage. He forces her to tell him her true identity, however, and she reveals herself to be Rebecca Pope. When Rebecca's husband arrives at the hospital, she asks Alex to give her a reason to stay in Seattle, however Alex turns her down, feeling that he is not good enough for her. Addison urges Alex to reconsider, but when he returns to the hospital, Rebecca has been discharged.

Rebecca returns in the show's fourth season, and she and Alex sleep together before she goes back to her husband. Alex has a brief relationship with intern Lexie Grey (Chyler Leigh), but chooses to be with Rebecca when she returns and tells him she is pregnant. Izzie discovers that Rebecca is not in fact pregnant, and Alex cares for her when she becomes increasingly hysterical. After Rebecca slits her wrists, Izzie convinces Alex to admit her for psychiatric help. Alex discovers that Rebecca's husband has left her and taken their child, and that she is mentally ill. Alex breaks down in Izzie's arms, and the two kiss.

In the aftermath of Rebecca's breakdown, Alex lashes out at Izzie, though they later go on to begin their relationship anew. Izzie begins hallucinating about Denny, and uncovers the fact she has metastatic melanoma (Stage IV) with an estimated chance of 5% of survival. Alex is shocked by the news, but finds the strength to stay by her side. Izzie plans a wedding for their friends Meredith and Derek, however when Derek finds Izzie has another inoperable tumor in her brain, they give the wedding to Izzie and Alex, who marry in front of all their friends. Saying these vows: "Today’s the day my life begins. All my life I’ve been just me. Just a smart mouth kid. Today I become a man. Today I become a husband. Today I become accountable to someone other than myself. Today I become accountable to you. To our future. To all the possibilities that a marriage has to offer. Together, no matter what happens, I’ll be ready. For anything. For everything. To take on life, to take on love. To take on possibility and responsibility. Today Izzie Stevens, our life together begins. And I for one can’t wait."

External links

• Bios of Grey's Anatomy characters at ABC.com