This book starts out in Russia with a pimp selling his four young boys to a couple from the United States who supposedly want to adopt them. Then as the author starts to explain what is really going on, the story changes to Boston where a girl named Abby is working in a hospital in hopes of becoming a surgeon. The sudden change in plot interested me because automatically I wanted to find out more about the couple. As the story went on there was huge chaos involving two patients who needed the same heart from a crash victim. The heart went to the 17 year old, but only after Abby stole the heart and took it to a different hospital for the transplant. She did not get fired, but she is starting to find out that there is more going on in the transplant unit than the other doctors know. This whole conspiracy kept my interest because it was so fast paced. I hope that the book will go deeper into the transplant units' secrets and also go back to the the couple and tie it back to the current plot.