James is summoned and told that if he delays Jasper's treatment he'll be returned to prison. Jasper's leg has worsened and needs immediate surgery or he will never walk or dance again. Flora, Rosetta and others pressure James to donate his leg, calling it a family sacrifice, but James says he was deceived and refuses: "Never will I give my leg to Jasper." Family summons guards, who restrain him. As the physical coercion begins, a woman shouts, "Let go of my grandson!"—the interruption leaves whether James will be forced into surgery unresolved.