The episode ends by setting a 9-year time jump, where Tenma will eventually realize that the life he sacrificed everything to save was that of a sociopathic killer.
: The surgery is a success, but the Mayor dies under the care of other surgeons. Monster Episode 1
: When twin children, Johan and Anna Liebert, are brought in after a brutal massacre of their foster parents, Tenma prepares to operate on the boy, Johan, who has a critical head wound. Moments before the surgery, the Mayor of Düsseldorf is admitted with a stroke. The Director orders Tenma to abandon the boy to save the high-profile politician. The Climax: Saving a "Monster" The episode ends by setting a 9-year time
: A grieving woman confronts Tenma, blaming him for her husband’s death. He had been ordered by the Hospital Director to operate on a famous opera singer instead of her husband, who arrived first. Moments before the surgery, the Mayor of Düsseldorf
Kenzo Tenma is a brilliant Japanese neurosurgeon working in Düsseldorf, Germany, during the late 1980s. He is the hospital’s rising star, engaged to the Director’s daughter, Eva Heinemann, and seemingly destined for the role of Chief of Surgery. However, his success is built on a hospital hierarchy that prioritizes politics and prestige over human life.
: Tenma's belief in saving everyone is pitted against the cold, political reality of the hospital.