
One of the hardest, most heartbreaking experiences that can come at a woman as she eases out of her thirties is to discover that she cannot have a baby. The protagonist in this novel is Costanza Ansaldo, a half-Italian and half-American translator, who has traveled to Italy one summer to restart her life a year after the death of her husband, the famous writer Morton Sarnoff. She is turning forty and has made an uncertain peace with both her grief and her childlessness. Visiting the pensione in Florence where she spent many happy times as a girl, she meets Andrew Weissman, an acutely sensitive seventeen-year-old, and his father, Henry Weissman, a charismatic New York physician who specializes in—as it happens—reproductive medicine. These encounters change the way Costanza thinks about herself—and, eventually, her future.
For readers unfamiliar with the experience of assisted reproduction, Michael Frank’s novel is an eye-opener. The ethics-straining extremes highlight the dire need to balance power between women and men. The novel is a stunning reveal of the harrowing gauntlet infertile women go through to conceive. This is an intricate and dynamic examination of familial ties: both what strengthens them and what can tear them apart.
Scientific breakthroughs have caused the legal meaning of family to become detached from its genetic definition. The complicated family unit that ultimately forms is built on uncharted ground. When fertility treatments fail to produce a baby, adoption or surrogacy are often the next step in a family’s effort to form itself. Both of these take a baby bonded in utero with someone else and place the infant in the lives of strangers.








