For two years, Jérôme le Maire follows the everyday life of a surgical unit in the Saint Louis Hospital in Paris. The result is a devastating account of the internal collapse of a major hospital, which exposes frankly and yet empathetically the intensifying clash between administration and medical staff: while the former aim to constantly optimize things according to a mantra of efficiency, productivity, and performance, doctors prefer to think – and occasionally to speak out – about ethics, humanity, and burnout. Under constant and severe stress, bearing heavy workloads and severe budget cuts, employees fight over resources and time inside the operating room. Occasionally, some decide to take time out from the hospital to avoid a full collapse. What could be done to improve the quality of life for the medical staff as well as the quality of the services offered to patients?