He may be behind bars, but Warren Hoyt still haunts a helpless city, bequeathing his evil legacy to a student all too diligent - and all too deadly. A year has passed since the capture of the Surgeon, serial killer Warren Hoyt, yet the memory of his brutal crimes continues to haunt Boston homicide detective Jane Rizzoli. Now she faces a new killer, a hunter who preys on well-to-do couples. For Rizzoli the death scenes have a horrifying air of familiarity, especially when she realizes that this new killer is copying one obscure element from Warren Hoyt's crimes.
In her most masterful novel of medical suspense, New York Times bestselling author Tess Gerritsen creates a villain of unforgettable evil--and the one woman who can catch him before he kills again. He slips into their homes at night and walks silently into bedrooms where women lie sleeping, unaware of the horrors they soon will endure. The precision of the killer's methods suggests he is a deranged man of medicine, propelling the Boston newspapers and the frightened public to name him "The Surgeon."
Present day: Julia Hamill has made a horrifying discovery on the grounds of her new home in rural Massachusetts: a skull buried in the rocky soil - human, female, and, according to the trained eye of Boston medical examiner Maura Isles, scarred with the unmistakable marks of murder.
Ever since a walk home on a particularly stormy day, Jessica Mastriani has had an ability like no other. She became known worldwide as Lightning Girl—a psychic who could find the location of anyone, dead or alive. Jess finally had no choice but to embrace her newfound talent, and ended up lending her skills to the U.S. government.
Emma Watson, a brilliant research physician, has been training for the mission of a lifetime: to study living beings in space. Jack McCallum, Emma's estranged husband, has shared her dream of space travel, but a medical condition has grounded and embittered him. He must watch from the sidelines as his wife prepares for her first mission to the International Space Station.