Eleanor Vance is a municipal archivist-steady hands, quiet habits, a life that files neatly. Until the morning she wakes in her spare room wearing yesterday's office clothes, surrounded by latex gloves smeared with fresh blood, a hospital-grade scrub bottle with a broken seal, and an ID badge that names her someone else: Dr. Elena V. Carrow, Cardiothoracic Division.Then the city's news erupts: an unidentified intruder saved a billionaire's life during a botched transfer at Saint Obscura. A viral rooftop aria features a masked soprano with Eleanor's posture. A show-jumping champion vanishes before the ribbon can be pinned. A brutal cease-and-desist-signed E.V. Chambers, Esq.-arrives on her doorstep.The lives Eleanor only dreamed about are waking up in her body: the Surgeon, the Lawyer, the Singer, the Rider. Each wants the reins. Memory gutters. Notes appear-THE STITCHES HAVE OPENED. DO YOU REMEMBER THE FIFTH?-and the city itself begins to change, street signs relabeled as chambers and valves, VENTRICLE 3 stamped on empty air.Stalked by a velvet-voiced "House Administrator" and warned by a faceless anatomist in a greenhouse of bones and flowers, Eleanor learns that the thread binding her selves is alive-and hungry. To survive, she must "finish the stitch" on her own terms, before a nameless fifth self forces open a new mouth through every mirror.Lyrical, uncanny, and razor-tense, The Surgical Stitch is a psychological-surreality thriller about ambition, identity, and the cost of becoming more than one life at once. Every city is a heart. Every heart is a city. Blocked flow is a riot. And when the lights go out beneath Saint Obscura, the cut she makes will decide which life gets to breathe.