Dr. Jed Hill, a highly skilled but arrogant surgeon, becomes embroiled in the lives of Andy and Tracy Safian, a couple experiencing marital problems. Andy, a college dean, invites Jed to become a tenant in their home in exchange for reduced rent to help cover financial difficulties. One day, Tracy collapses and is rushed to the hospital where Jed performs emergency surgery to save her life. The procedure results in complications that lead to irreparable damage, throwing both the Safians' marriage and life into turmoil.

As legal battles emerge, deep-seated personal issues intensify. Andy discovers alarming secrets about his wife's past, causing him to question everything he believed about their relationship and leading him toward a quest for truth. The couple's interactions with Jed and their own internal struggles intertwine, creating a web of deception, manipulation, and twisted motives. Amidst this chaos, Andy doggedly pursues answers, unveiling shocking revelations that challenge his understanding of integrity, trust, and the nature of malice itself.