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Lulu and Frieda are competing for surgery time with Michael; whoever diagnoses their patient correctly will join him in theatre. When they are both incorrect and the patient turns out to be in a much more serious condition than thought, Michael allows them in the theatre together. But as the pressure mounts, will Frieda be able to put aside her personal problems and demonstrate her talent as a doctor and surgeon?

When Hanssen announces the fate of Darwin ward, everyone is convinced that he has saved Sahira's job out of favouritism. Determined to prove them wrong, Sahira announces her resignation and becomes the ward hero. However, as the prospect of unemployment looms, will she stand up to Hanssen and abandon the job she loves?

The transfer of the cardiothoracic unit to St James's means less operating time for Elliot. Refusing to take this lying down, Elliot resolves to prove his surgical skill to the St James's board members by inviting them to theatre in order to watch his complex surgical procedure.