"Genzai Byōtō" is a manga series that delves into the lives of medical professionals working in a contemporary hospital setting, exploring the complexities of their personal and professional challenges. The narrative centers on Dr. Shunsuke Akagi, a skilled and dedicated surgeon who becomes the head of the hospital's emergency department. Akagi is portrayed as a deeply principled individual, often grappling with the ethical dilemmas and bureaucratic obstacles inherent in the healthcare system. His commitment to patient care frequently puts him at odds with hospital administrators and colleagues who prioritize efficiency and profitability over medical ethics.

The story unfolds through a series of interconnected cases, each highlighting different aspects of hospital life, from emergency surgeries to long-term patient care. Akagi's interactions with his team, including nurses, interns, and fellow doctors, reveal the pressures and emotional toll of working in a high-stakes environment. Key supporting characters include Dr. Yuko Kanzaki, a talented but emotionally reserved anesthesiologist, and Nurse Rika Fujimoto, whose compassion and dedication often serve as a counterbalance to the more cynical attitudes of some staff members.

As the series progresses, the hospital faces various crises, such as outbreaks of infectious diseases, resource shortages, and internal conflicts among staff. These events test the resilience and moral convictions of the characters, particularly Akagi, who must navigate the fine line between adhering to his ideals and compromising for the greater good. The manga also examines broader societal issues, such as the impact of healthcare policies on patient outcomes and the disparities in access to medical care.

The narrative is driven by a mix of medical drama and character development, with a focus on the human side of medicine. The series does not shy away from depicting the harsh realities of hospital work, including the emotional strain of losing patients and the ethical quandaries posed by modern medical technology. Through its detailed portrayal of medical procedures and its exploration of the interpersonal dynamics within the hospital, "Genzai Byōtō" offers a realistic and thought-provoking look at the challenges faced by healthcare professionals.