When Katherine Dennard is selected to become a “Creation Specialist” in Sector 4, the opportunity sounds like a dream come true. But Kate soon discovers the darker side of her profession – the disposal of fetal organs and destruction of human life. It makes sense, really. In a society where disease and malformations don’t exist, human perfection demands that no genetic “mutants” be allowed to live. For Sector 4, “survival of the fittest” is not just a theory – it’s The Institute’s main mission. When Kate discovers that The Institute is using her DNA to create new life, her work gets personal. In order to save her unviable son, she’ll have to trust Micah and his band of underground Natural Born Rebels. The problem is, if The Institute discovers her betrayal, the next body tossed in the trash could be hers.