New York Police Lieutenant Eve Dallas and her partner Peabody enter the hallowed halls of the Wilfred B. Icove Center for Reconstructive and Cosmetic Surgery on a case. A hugely popular vid star has been beaten to a bloody pulp - and has killed her attacker in the process. After a post-op interview, Dallas and Peabody confirm for themselves that it's a clear-cut case of self-defense, but before they can leave the building, another case falls into their hands.

Dr. Wilfred B. Icove himself has been found dead in his office - murdered in a chillingly efficient manner: one swift stab to the heart. Struck by the immaculate condition of the crime scene, Dallas suspects a professional killing. Security discs show a stunningly beautiful woman calmly entering and leaving the building: the good doctor's final appointment.

Known as "Dr. Perfect," the saintly Icove devoted his life to his family and his work. His record is clean. Too clean for Dallas. She knows he was hiding something, and suspects that his son, his successor, knows what it is. Then - like father, like son - the young Dr. Icove is killed . . . with the same deadly precision.

But who is the mystery woman, and what was her relationship with the good doctors? With her husband, Roarke, working behind the scenes, Dallas follows her darkest instincts into the Icoves' pasts. And what she discovers are men driven to create perfection - playing fast and loose with the laws of nature, the limits of science, and the morals of humanity.