This is a revealing and riveting inside story of the changes in the health sector in recent years. The book depicts the process that led to the merger of Rikshospitalet, Radiumhospitalet and Ullevål and Aker sykehus, to become Oslo University Hospital in 2008/2009, and it follows the merger process that continues today. The author provides a sharp criticism of how the process has taken place and portrays a game marked by hidden power struggles and closed decision making. The book provides insight into those involved in the administrative and scientific management of the process, both at central and local levels, as well as political involvement.