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One boy. Two families. A thousand miles of wilderness. And a surgeon who doesn't want to save him.
Seventeen-year-old River Campbell has spent his life in the shadow of giants. Raised by his father, Jay, a NASA astronaut, and his grandmother, Naomi, River's world was built on resilience. At fifteen, that resilience was tested when he lost his leg to osteosarcoma. But just as he's learning to walk on steel, a fourteen-year-old secret surfaces: his mother, Krystal, is alive-and she's been closer than he ever imagined.
Krystal, a high-stakes pediatric surgeon in Austin, never forgot the son she was forced to give up. When Jay finally reaches out, she realizes the boy she's been passing in the hospital hallways is the heart she thought she'd lost forever.
To celebrate River's recovery and his seventeenth birthday, his girlfriend Hailee's older brother, Chase, organizes a winter break getaway. Along with best friends Caleb and Reed, and a group of close-knit classmates, they head deep into the heart of a National Park for a week of freedom.
But the wilderness is not empty.
Deep in the woods, a different kind of doctor is waiting. A psychopathic mental patient, obsessed with the "art" of surgery, has turned the park into her personal operating theater. She doesn't see teenagers; she sees specimens.
As the group is stalked through the freezing dark, River must rely on the very thing he once hated-his prosthetic leg and his battle-hardened spirit. In a race against time, Jay and Krystal must unite to find their son before the "Doctor" completes her final, gruesome procedure.
In the forest, there are no painkillers. There is only the hunt.