Dexter is called to a crime scene at the abandoned hospital where, last night, the Ice Truck Killer left security guard Tony Tucci (Brad William Henke) strapped to a table for Dexter to kill.
Dexter's girlfriend Rita Bennett (Julie Benz) comforts her upset co-worker, Yelina (Monique Curnen), and learns that Yelina's fiancé, who was immigrating from Cuba illegally with the help of a coyote, is missing.