Koyou rolls up her sleeves to perform yet another revolutionary medical procedure - an appendectomy.But even though she’s armed with incredible knowledge and the tools to do it, Koyou is having a hard time convincing people to let her to cut someone open.With the life of a high-profile bureaucrat on the line, Keiun once again stakes his reputation and more on Koyou’s skills.Will this first-time operation be a success for the young doctor? Or will it end in tragedy?