The context for "Complications" seems wild: A stressed-out ER doctor out for a drive comes upon a drive-by shooting. He ultimately saves the boy who is shot and kills members of a rival "Loco" (read: Mexican) gang who are coming back to finish the job.
Turns out the boy is not just a random ghetto statistic: He is the son of a prominent imprisoned gang leader. The E.R. doc - Dr. John Ellison, played very well by Irish actor Jason O'Mara - is unwittingly drawn in to their world and ultimately lives or dies at their behest.
Dr. Ellison bouncing from one admittedly absurd scenario to another forces you to either embrace the show as an edge-of-your-seat action-drama show or reject it as a ridiculous farce. Some will certainly choose the latter. Any drama - nor comedies or kids' shows, either - is nothing without conflict and "Complications" has plenty of it.
"Complications" was created by Matt Nix, the creator of "Burn Notice," one of my favorite USA shows - though admittedly the premise of "Burn Notice" wore quite thin after a few seasons. To Nix's credit he pushed the show into fairly dark territory as the stock show formula of Michael saving X person from bad guys and getting some form of revenge got pretty dull.
Now that Dr. Ellison in "Complications" is being setup as a kind of gangland doctor one wonders if Nix will follow something of a similar formula with various scenarios involving he and numerous somewhat or entirely outlandish setups where only the doctor can help.
It's great to see Beth Riesgraf - the very quirky Parker from the wonderful and frequently overlooked show "Leverage" - as Ellison's wife. Nix also seems to be drawing on some "Burn Notice" regulars as well, notably Lauren Stamile as another E.R. doctor (IIRC she played an FBI agent who was at first against Michael in "Burn Notice" but ultimately worked with him).
Whether you love or hate this show - I'm close to "really like" - there is no denying the direction, writing, and acting are all very good. Unlike a lot of pilots and new shows the actors seem incredibly comfortable and believable in their respective roles. The plots are at times pretty absurd - why doesn't the doctor, for example, simply go to the cops if a gang leader is threatening his life and that of his family? - but they're also designed quite well to keep you interested in the story. I have to wonder what direction they'll be taking next.