At Sunimo Hospital a preoperative showdown erupts: Dr. Lester insists he's the best cardiac surgeon and demands Chelsea as anesthetist, while Kyle refuses and tells him to step aside. Hospital leadership warns Dr. Lester his career could be at risk if the patient complains to Quinn Group. Rayna confirms she will have the operation. Jeffrey, returned after eight years abroad, insists he will perform the surgery himself and boasts near‑100% success. An authority orders Jeffrey to Sunimo and tells Dr. Lester to arrange the case. They rush in—who will lead the OR and control Chelsea's role remains unresolved.