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Lexie's assigned supervising resident is Meredith's best friend Cristina Yang (Sandra Oh), who doesn't take the time to learn her interns' names and thus, dubs Lexie as "Three".Although Cristina is initially rude and strict with her, Lexie eventually stands up for herself and manages to earn her mentor's respect, with Yang going so far as to acknowledge Lexie as her best student.An ecstatic George then casually plants a kiss on Lexie, completely unaware of her feelings for him.
Upon arriving at the hospital's intern locker room, Lexie meets George O'Malley (T. Knight) during the end of his first year as an intern.
Throughout her childhood, Lexie remained unaware that she also had an older half-sister, Meredith Grey (Ellen Pompeo), born to Thatcher and his first wife Ellis (Kate Burton), a famed surgeon.
Lexie was extremely intelligent as a child, having skipped third grade and "aced" her psych clerkship.
Leigh was among the cast to receive a Screen Actors Guild Award nomination for Outstanding Performance by an Ensemble in a Drama Series in 2007.
Alexandra Caroline "Lexie" Grey was the daughter of Susan (Mare Winningham) and Thatcher Grey (Jeff Perry), and the elder sister of Molly Grey-Thompson (Mandy Siegfried).