The Elephant Man opens with Frederick Treves, an up-and-coming surgeon, meeting his new employer Carr-Gomm, the administrator of the London Hospital.
Ross, the manager of a freak show, invites a crowd on Whitechapel Road to come view John Merrick, the Elephant Man. Treves happens upon the freak show and is intrigued by Merrick's disorder. He insists that he must study Merrick further; Ross agrees, for a fee. Treves then gives a lecture on Merrick's anatomy, making Merrick stand on display while Treves describes his condition to the audience.
The freak show travels to Brussels after being driven out of London by the police. Merrick tries to converse with three freak show "pinheads," or people suffering from microcephaly and mental retardation. The "pinheads" go onstage to sing "We Are the Queens of the Congo," but the police will not allow Merrick to perform, because they consider his condition "indecent." Ross decides that Merrick is more trouble than he's worth, steals his savings, and sends him back to London.
When Merrick arrives in London, his appearance incites a crowd to riot. The train's conductor and a policeman are able to fetch Treves to calm the situation. Treves takes Merrick to the London Hospital and interviews a woman, Nurse Sandwich, for the position of Merrick's caretaker. Sandwich assures Treves that she has cared for lepers in Africa and is quite prepared for anything. However, when she sees Merrick taking a bath, she bolts from the room and refuses to take the job.
Bishop How visits Merrick and declares him a "true Christian in the rough." He tells Treves he would like to educate Merrick in religion. Carr-Gomm argues with Bishop How about the importance of science versus the importance of religion. Carr-Gomm announces that, due to a letter he had printed in The Times, the people of London have donated enough money to allow Merrick to live at the hospital for life. Treves tells Gomm that he is glad Merrick now has a