The protagonist, Asahina Takuma, is a highly skilled surgeon who works at one of Japan's leading hospitals called Mansei Women's Medical University Hospital. With his genius surgical skills, extensive network, and "dark side", he has risen to the position of head of surgery at a young age. As a result, calls for him to be the next hospital director are increasing both inside and outside the hospital. However, a medical mistake is exposed by the media, and the current hospital director is forced to resign. In response to this situation, an election is held to select a new hospital director. The candidates are the popular and trusted head of internal medicine, Shitara Haruomi, and the protagonist, who is the head of surgery. Takuma sees this as a once-in-a-lifetime opportunity and eagerly takes part in the director election that is filled with ambition and desire.