Baitang County Second Hospital is two months behind on salaries and over 60 million in debt. 36-year-old Lu Heng is urged by an old classmate to take over as vice president; having never stepped foot into clinical practice, the entire hospital mocks him as an armchair president. That very day, he awakens a god-tier hospital director system: whenever an employee's support rating exceeds 80, he masters all surgical procedures in that department. When the executive vice president pressures him to approve a 2.8 million equipment order, Lu Heng slaps the financial records on the table with a cold reply: whoever pushed for it, signs it. Later that day, he completes a craniotomy that normally takes two and a half hours in just 78 minutes.