Fresh out of vet school and eager to make a difference, Kaybri Lynn inherits a veterinary practice in the heart of Lancaster, Pennsylvania. Feeling a little awkward due to her socially inept and headstrong personality, she eventually settles into a daily work routine with her new staff. But this is short-lived when severely injured dogs are often dropped off at the clinic's doorstep, and young dogs who should be healthy and vibrant are suffering in unusual numbers from congenital issues. Kaybri questions her predecessor and discovers a disturbing arrangement he has with local Amish puppy mill operators. As Kaybri's headstrong nature clashes with the clinic's employees and clients, radical animal rights activists in the area escalate their efforts, putting both human and canine lives at risk. Caught between her professional duties and her moral compass, Kaybri must confront her own past demons to find a balance between what she ought to do and what she must do.