Meredith Grey and Derek Shepherd's wedding Post-it note continued to play an important part in Meredith's story as it made a surprising return in season 19 of Grey's Anatomy. First appearing in the season 5, episode 24, "Now or Never", the wedding Post-it note was an idea concocted by Derek after he and Meredith decided to get married but struggled to attend their appointment at City Hall.
Although Meredith and Derek officially got married in season 7's "White Wedding", the blue Post-it continued to play an important part in their relationship as the couple occasionally referred back to their it whenever they got into fights and were on the verge of breaking up.
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