Monster Episode 1 -

The episode introduces Tenma's internal struggle through two pivotal moments:

While Tenma is at his lowest, the hospital leadership—including the Director and the doctors who replaced Tenma—are suddenly and mysteriously murdered. With his rivals gone, Tenma is ironically promoted to Chief of Surgery, but the boy he saved, Johan, has vanished from the hospital along with his sister. Monster Episode 1

The episode ends by setting a 9-year time jump, where Tenma will eventually realize that the life he sacrificed everything to save was that of a sociopathic killer. The episode introduces Tenma's internal struggle through two

Kenzo Tenma is a brilliant Japanese neurosurgeon working in Düsseldorf, Germany, during the late 1980s. He is the hospital’s rising star, engaged to the Director’s daughter, Eva Heinemann, and seemingly destined for the role of Chief of Surgery. However, his success is built on a hospital hierarchy that prioritizes politics and prestige over human life. Kenzo Tenma is a brilliant Japanese neurosurgeon working

: The surgery is a success, but the Mayor dies under the care of other surgeons.

: The episode questions if all lives are truly equal, as Tenma's "moral" choice leads to a darker outcome.

: Tenma's belief in saving everyone is pitted against the cold, political reality of the hospital.