Nobody in Serenity, North Carolina, knows that Adam Tyson is dead. Nobody except his former physician's assistant who has assumed his identity.

Serenity was to be a fresh start and the fulfillment of a vow made years ago. Being a doctor there is supposed to be a quiet, non-descript job. But it is in this touristy, seaside town where drugs flow, insurance is defrauded and people are dying.

As the mystery around these suspicious activities and deaths unfolds, so does the new doctor's false identity. If the pretender can survive the allegations and keep the unconditional love he's discovered, he just may find the serenity he was seeking.