James and the Bunker Hill surgeons attempt to make medical history with the largest chain of internationally paired kidney donations ever, comprised of eight simultaneous organ transplants and 16 surgeries. Also, Zoe and Malik agree to go on a real date.

Pure Genius is a unique medical drama centered around a young Silicon Valley tech billionaire who builds the ultimate cutting-edge hospital that treats only the most rare and insurmountable medical mysteries - at no cost. Lending credibility to this new venture is a maverick surgeon who's the first to discover that his boss's mission is to get bureaucracy out of medicine, use the most forward thinkers in technology, and just save lives - including his own.