When the renowned plastic surgeon Raymond Gates storms into ER at the end of Hope Adams's thirty hour shift demanding better care for his beloved grandmother, Hope never expects to find herself falling for this tough customer. But can she trust her once-broken heart? Ray has made it a rule never to mix business with pleasure, but when it comes to Hope, all reasoning flies out the window. He's going to woo her every which way unless a destructive influence from his past comes between him and everything that he longs for.