After 30 years attending to the physical and mental health of the inhabitants of Knife Island, a tiny community in the Micronesian archipelago, Dr William Moreland feels it would be of benefit to his successor, and to his colleagues throughout the Pacific, if his records were properly analysed. Only too grateful to escape the violent atmosphere of LA and recoup their emotional resources, Dr Alex Delaware and his partner Robin accept Moreland's invitation to spend a sabbatical on the island to help him in the task. But Knife Island is not the paradise of the travel brochures. The murder of a young woman has created an atmosphere of division and fear. A potential development threatens a large part of the island with environmental pollution. And Dr Moreland is not universally regarded as the saintly healer of his own mythology. Alex discovers a conspiracy of such startling magnitude that, even with his knowledge of human depravity, he is hard put to comprehend. And why has he been invited into such a horrific web of intrigue and abasement?