Alex Karev is an attending pediatric surgeon working at Grey Sloan Memorial Hospital.

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In the early years of his internship he only wanted to work on cases that he felt were interesting.

His offensive behavior and poor attitude caused him to be extremely disliked by doctors and patients alike; this changed after he started working in pediatrics.

It is slowly revealed that Alex does care for others and is very kind.

He actively plays down his soft side, adopting a brash and cocky attitude to project to other people.

After Alex's father left he took care of his mother and his siblings.

Alex was in 17 different foster homes in the course of 5 years.He also spent time in juvenile detention for stealing food for his family.Alex married Izzie Stevens, but eventually divorced after she abandoned him.When Alex was seven, he had to start cleaning up his drunk and drug addict father.At that point, he became the adult of the family as his mother was schizophrenic.Alex described himself as "raised in a bar" and that his father never took him to the park or camping.