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Content snapshot
Flag an inaccuracy →What's in this book, at a glance — five things readers want to know before they start.
Violence
A lot
Surgical procedures depicted in clinical detail; political violence in Ethiopia; death throughout
Language
Some
Some strong language
Sexual Content
A lot
A significant sexual betrayal; adult romantic relationships; medical procedures involving sexuality
Substance Use
Barely any
Some substance use
Emotional Intensity
A lot
A profound portrait of love, betrayal, healing, and what it means to be shaped by the place of your birth
What this book is about
Born to an Indian nun and an English surgeon in Addis Ababa's Mission Hospital, twin brothers Marion and Shiva grow up immersed in medicine while Ethiopia is convulsed by revolution. When Shiva sleeps with Marion's great love, Marion flees to America — and the brothers' reconciliation forms the novel's final arc. A sweeping, richly detailed medical epic.
Notes for sensitive readers
Reader-flagged moments and themes that may affect your experience.
Graphic surgical scenes including obstetric emergencies
Sexual betrayal between brothers
Political violence and revolution in Ethiopia
Reader Verification
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