Dr. James Covington is a disgraced surgeon running an illegal organ transplant business to extort criminals. With the aid of a recruited Samar, the Task Force starts investigating one of Covington's recent victims, Paul Wyatt. The investigation into Wyatt leads the Task Force to a medical examiner who supplies Covington with recently harvested organs. With the aid of the medical examiner, Liz and Ressler attempt to tail a courier responsible for transporting a heart transplant, only for the courier to die during the pursuit. Liz and Ressler come across an underground hospital utilized by Covington, attempting to arrest him. Liz and Ressler delay their arrest after being persuaded by Covington to finish a surgery on a young boy. Meanwhile, Reddington meets with business contacts involved with international shipping in order to outmaneuver Berlin. One of the contacts, Niko, attempts to double-cross Reddington in order to serve under Berlin's employment. Unbeknownst to Niko, a double agent (Paul Reubens) secretly working for Reddington, exposes Niko during the course of an attempted betrayal, prompting Reddington to kill Niko. During the aftermath, Liz has a brief conversation with Samar about her mistrust. Samar validates Liz's claims, and is later warned that her recruitment is part of Reddington's machinations. Meanwhile, Reddington and Dembe drive to a remote cabin where Naomi is staying, only for Naomi to slap Reddington.