This novel by Amanda Eyre Ward explores what it means to be a mother; DNA or the nitty gritty dailiness of being there. Heart surgeon Suzette Kendall and her husband Hyland had agreed not to have children. Suzette's mother lives in a mental institution and she feared intensely passing those genes along. Hyland suggests a baby via surrogate. Dorrie Muscarello is the young woman chosen to complete their family. She intends to use the money to go to college - a life of possibility. But they also, all three, face a future of uncertainty.