Miami Metro continues their hunt for the Brain Surgeon, while Dr. Vogel enlists Dexter to do her bidding based on her own personal experience with her previous patients. Debra continues to track down her PI case and has to take matters into her own hands.

Dexter continues his manhunt for the Brain Surgeon. Dr. Vogel tries to prove to Dexter that he’s perfect as a psychopath. Debra’s PTSD kicks in and she makes a desperate plea to confess to LaGuerta’s murder.

Dexter enlists Dr. Vogel's help to lure the Brain Surgeon to a location in order to get him on the table. Later, an important person in Dexter's life is murdered before his eyes.