The finale picks up right where we left off with Lucas rushing Peyton to the hospital to the haunting tunes of Wakey! Wakey!'s "War Sweater."

Lucas washes the blood from his hands and, for some reason, he and the rest of the gang all watch the surgery from the observation room. Peyton wakes up briefly before the anesthesiologist knocks her out and the screen cuts to black. And then...

A baby crying. No, this isn't misdirection, it's Peyton and Lucas' baby, and Lucas wakes up in the middle of the night to hold his daughter. That beauty is cut short when Lucas is bleary-eyed at Peyton's bedside in the hospital, pouring her root beer floats and begging her to wake up.

Outside the hospital, Julian tries to get Brooke to go home because it's been four days since Peyton was admitted. Brooke refuses to leave, which Julian knew she would, so he bought her a ton of fashion magazines.

Lucas cries a lot next to Peyton, terrified that he can't raise their baby without Peyton because they didn't even come up with a name. While he cries, Peyton wakes up and tells him the baby's name is Sawyer. That's cute, but Sawyer is a terrible name for a girl because all I can think of when I hear it is Josh Holloway.

That's right, just like when Peyton got hit by a car, this whole "emergency" was drastically overhyped by the network, because five minutes into the episode, Peyton wakes up, perfectly fine. Brooke goes outside to introduce Peyton to the poorly named Sawyer Scott, but the baby isn't the only surprising face to walk through the door. Sawyer is brought in by Grandma Karen.
Peyton takes her baby and promises to love her forever, and she, Lucas and Sawyer are all a happy, crying, smiling, kissing, loving family. Karen makes the rounds, telling Lucas and Peyton how proud she is of them. Karen and her son share a sweet moment on the front porch steps reminiscing about their time in Tree Hill together.

Now that the Peyton drama is over for the episode, it's time to focus on the other characters. Nathan goes back to work for the Chiefs, but when he shows up his locker is empty. He returns home and tells Haley to put on a nice dress so the two of them and Jamie can go out to dinner in Charlotte. He tells her that he's not on the Chiefs and she starts to cry.