AN: Alright, after some rude reviews, here is my full disclaimer and opinion: This is a Meredith and Alex romance. Derek is dead and Meredith is allowed to move on. They aren't ACTUALLY brother and sister, so NO it isn't gross or incest. This is my story and I will ship whomever I want to. If you don't like it, don't read it. I am not the creator of this show, but I am the creator of this story. I don't care if the writer said that this relationship would never happen, there are a lot of relationships that would never happen, but they are still written about in fanfiction. If you are a MerDer person...I'm sorry, but he is dead, so your ship...has sailed. That being said, if you want to write your own MerDer story where he is alive: go for it, I'm not stopping you, so don't be rude to me.

I will remove inflammatory reviews from my story. You are allowed not to like it and you are allowed to say so, but I am not going to leave rude and inflammatory reviews attached to my story.

I DO hope you like my idea though. I know that some of the best fanfic stories I have ever read were with a ship that made me start out saying "WHAT?"

GGGGGGGGGG

If anyone had told Alex Karev 15 years ago that this would be his life, he would have laughed in their face. Even 10 years ago, this outcome would have been laughable. Here he was, head of pediatric surgery at Grey Sloan Memorial Hospital, married to his best friend, a father of five, and all-around happy with his life.

10 years ago when Derek Shepherd died, Alex didn't know if Meredith Grey would ever smile again. Nine years ago, Alex asked Jo Wilson to marry him. He never realized that her saying no was going to be the best thing that ever happened to him. His life changed eight years ago when he kissed Meredith Grey first time. By that point, Amelia had moved in to her brothers dream house with Owen and Maggie was recently engaged to Andrew DeLuca. Maggie and Andrew were househunting leaving he and Meredith along with her children the only people left in the old house.

He hadn't been with anyone since Jo, and Meredith had not been with anyone since Derek. They fit together well, a surprising thing considering they had never entertained romantic thoughts of each other ever before. Of all the people that Alex had been with over the years, Meredith was one person he had never truly considered being with. From the moment he met her, she was taken.

They got married at the courthouse six months after their first kiss. Neither wanted to have a big affair, both just wanted to live their life together. Considering Meredith's age, and her previously identified "hostile uterus," they were not sure that she would ever become pregnant again. They considered adopting another child, Meredith was adamant that Alex get a chance to be a father. The truth was that he was the only father that Ellis or Bailey remembered. Zola remembered Derek, but she needed a daddy, and Alex was happy to fill the role. Two years into marriage, Alex and Meredith adopted Isaac Joseph Karev, another African baby in need of medical attention. Just six months after the adoption for Isaac was finalized, Meredith discovered she was pregnant with another little girl. Alexandra 'Lexie' Margret Karev was welcomed into the world on a rainy summer night. Lexie was almost 4 1/2 and a true brainiac, just like her aunt and namesake.

It was incredible to think about their family. They had a niece and two nephews through Amelia and Owen. They had two nieces through Maggie and Andrew. Their children had a grandfather in Richard Webber that neither Meredith or Alex had seen coming. At Thanksgiving, the old home became filled with over 20 people, people who were all family, whether related by blood or not. Alex truly enjoyed his life. He was blessed in a way he had never thought was in his future.