The episode details the murder of Dr. Frank "Buddy" McCutcheon Jr., a respected plastic surgeon, by his wife, Brenda McCutcheon, in July 2016. It explains how their seemingly perfect marriage masked significant financial issues within their shared medical practice, including hundreds of thousands in unpaid taxes, which investigators identified as the primary motive for the crime. The narrative outlines the events of the murder night, the subsequent investigation that uncovered the couple's financial distress, and the circumstantial evidence that led to Brenda's conviction for first-degree murder. Ultimately, the text portrays a tragic story of betrayal and desperation, highlighting how hidden financial pressures culminated in a shocking act that shattered a community's perception of an ideal life.