When Tsunade returns to the village, Genma and Aoba are assigned to announce her inauguration as the Fifth Hokage. He is later sent on a mission with Raidō Namiashi, Iwashi Tatami and Shizune. As they return home after completing the mission Genma and Raidō encounter the Sound Four. He inquires about what they were carrying since they were coming from the direction of Konoha. In retaliation Sakon throws a kunai at him but Genma deflects it with his senbon. In order to defeat Raidō and Genma, the Sound Four activate level two of their cursed seals, leaving Genma and Raidō gravely injured and in serious need of medical attention. Shizune stabilises their conditions and takes them back to Konoha for further treatment