Clay Beresford, a wealthy young man, suffers from a severe heart condition that requires a life-saving heart transplant surgery. The successful businessman keeps his condition a secret from almost everyone except for his devoted mother, Lilith, and his girlfriend, Sam. Despite the risks associated with surgery, Clay puts his trust in his friend and renowned surgeon, Dr. Jack Harper, to perform the complex operation. As he prepares for surgery, Clay struggles with the pressures of his condition and the complexities of his relationships, especially the hidden depths of his connections with Sam and his overprotective mother.

On the day of the surgery, a rare but terrifying phenomenon occurs: Clay experiences "anesthetic awareness." He finds himself awake and fully conscious but paralyzed throughout the operation, unable to speak or move, but able to hear and feel everything that is happening to him. Trapped within his own body, he becomes a silent witness to the unfolding medical procedure and soon discovers alarming truths about the people he believed he could trust. The more he hears, the clearer it becomes that there is a sinister plot against him, forcing Clay to rethink his decisions and the intentions of those closest to him. Through this harrowing experience, Clay’s perspectives on loyalty, love, and trust are profoundly challenged, thrusting him into a desperate fight for survival.