Once an accomplished plastic surgeon, Trevor Lucas started using his scalpel to do very bad things...

Locked in a Boston psychiatric hospital, Lucas is holding the ward hostage-and performing grisly "operations" on his prisoners...

Lucas, calling for forensic psychiatrist Frank Clevenger, is willing to strike a deal...

What Lucas knows about Clevenger could ruin the psychiatrist. What Clevenger can find out about Lucas could save the hostages. And he's got 24 hours to do it...

As Clevenger feverishly delves into Lucas' past, what he discovers is chilling, disturbing, and all too familiar. For Clevenger can't help but wonder if his proximity to killers and madmen in coincidence, or something much more complex: Projection.