Disowned after coming out as trans, Padge Windslowe hustles from Philly's underground to the pinnacle of black-market silicone injections. As "Black Madam," she chases fortune—until a deadly injection gone wrong brings her face-to-face with justice.

Driven by her family's expectations, Sharita masterminds a Medicaid fraud, transforming bogus claims and stolen identities into a multi-million-dollar empire. But when an audit triggers a federal investigation, her world comes crashing down.