A quadriplegic since a beam crushed his spinal cord years ago, Rhyme is desperate to improve his condition and goes to the University of North Carolina Medical Center for high-risk experimental surgery. But he and Sachs have hardly settled in when the local authorities come calling. In a twenty-four-hour period, the sleepy Southern outpost of Tanner's Corner has seen a local teen murdered and two young women abducted. And Rhyme and Sachs are the best chance to find the girls alive.