It's 1960, and newlywed Jane Forrester has taken a job with the Raleigh, North Carolina Department of Public Welfare. Her first clients are the Harts, a poor family who live on a small tobacco farm. Jane soon grows close with the family, especially with vivacious 15-year-old Ivy. She is eager to help them--until she discovers that part of her job is deciding whether young girls like Ivy should be sterilized through a state program that seeks to sterilize "undesirables". Will Jane buck the system to help her friend? An absorbing and haunting novel by the author of The Good Father (2012).