Dr. Grace Devlin is heralded as one of the country's most promising young surgeons. But despite her best efforts, she can't escape her roots in one of the toughest neighborhoods in the city. To save her gambling-indebted brother from a mobster's wrath, she agrees to work "off book" for the men she once despised. As Grace's day job forces her to take on emotionally compelling cases – a toddler in need of a heart transplant, the mass chaos in the wake of two metro trains colliding – she is also confronted with an onslaught of "mob related" tasks, including: operating in mob sanctioned "mercy rooms," removing bullets from dead bodies to hide incriminating evidence, even covertly helping an aging mobster with erectile dysfunction. All the while, Grace must keep her dual life a secret from everyone...