Still reeling from the devastating blow of betrayal by her closest friends and confidants, Mina Jewel must put aside her personal pain to complete one last dangerous task before she leaves Presence forever. In a panicked race against time to rescue a very special child, it soon becomes obvious that the psychopathic Surgeon has more torment in store than Mina can handle on her own. She must learn to cope with her crippling PTSD and gather new and unlikely allies to complete her mission and put an end to the terror gripping Port Orchard, Washington. Will Mina be able to trust again, or will Aria, Presence, and the Latrator pack be lost forever to the Surgeon's blade?