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A bored Malick is frustrated by the lack of surgeries coming his way. Ric offers him a chance to assist on an exciting kidney transplant, but it clashes with a routine bowel resection for cancer patient Frank Clarke. Malick is determined not to lose out on this golden opportunity. Unfortunately, nervous patient Frank has been postponed four times already and his wife is worried he will die if he walks away again. Malick is confronted with one challenging obstacle after another in his attempts to do both surgeries, and at his lowest ebb has to decide whether to choose his career or his conscience.

Sacha connects with professional snowboarder Josh Cahill when he is brought in with a head injury. It soon transpires that Josh's condition is more serious when a CT scan shows he has an injury to his spine. Dan and Sacha disagree over the best course of treatment and Eddi is concerned that Sacha is too emotionally involved. Josh starts to lose sensation in his legs and has to face delicate surgery that will determine whether he will snowboard or walk again.

Hanssen agrees to do delicate surgery on Terrence Cunningham's flirtatious wife, Ella. Hanssen wants Sahira to assist, but she pushes Greg his way instead. But when things get complicated in surgery, Sahira has to decide whether to step in and help her mentor. And Hanssen later receives some difficult news about the Cardio Thoracic department's future at Holby.