Jack tells Ben that Ben needs surgery. Ben says he'll give Jack whatever he needs, but Jack says he will not do the surgery.
While Kate and Sawyer are working there is a compound breech, and Alex comes out with a sling shot. She tells Pickett that she wants to talk to Ben, but is grabbed from behind and carried off. She yells to Kate not to listen to them because they will kill her boyfriend the same way they killed Alex's.
Juliet takes Kate to see Jack. Kate begs him to do the surgery so that Pickett won't kill Sawyer. When she's returned to the cage, she tells Sawyer that she saw Jack. They get into an argument. Kate climbs out of her cage and goes into Sawyer's cage. They fight, then make love.
A message comes over Jack's intercom that says, "Try the door." He tries the door and is able to open it. He goes to the room with the TV screens and finds a closet full of guns. After taking one, he notices Kate and Sawyer on one of the screens.
Ben walks up behind Jack and tells him that he's surprised Kate picked Sawyer. Jack tells Ben that he'll do the surgery the following day.
While Jack does the surgery, Tom, Pickett, and Jason look on. Pickett and Jason leave and Pickett says that Jack wasn't even on Jacob's list.
In the operating room, Jack purposely makes a small cut in Ben's kidney sack. He tells Tom that Ben has about an hour to live if Jack doesn't sew it up. He wants to talk to Kate on the walkie talkie.
Pickett has Sawyer out of his cage, on his knees, with the gun at his head. He is just about to shoot when he gets the message from Tom.
Kate talks to Jack over the walkie talkie. He tells her to run, but she wants to know where he is.