By the time they reach eighteen, Joni and Caycee have been best friends their entire livesgrowing up at each others houses, as close as sisters. But everything changes when Jonis grandmother, who raised her, dies, and Lewis comes to town. Within a few months, Joni has left to go to college hundreds of miles away without even saying goodbye to Caycee, who is left behind, bewildered, hurt, and aching with loneliness. Not even being married to Lewis and carrying his child can fill the hole left by Jonis mysterious departure and subsequent silence. When their premature baby dies, Lewiss lack of love for Caycee and their very different reactions become clearand finding an infant girl named Madisin left on their doorstep only complicates matters further. In the same marriage and under the same roof, they live vastly different emotional lives. Only years later, when tragedy strikes Caycee and Lewis again and Joni is persuaded to return, is the truth about Jonis disappearance brought to light. She and Caycee are finally reconciled, but with consequences far greater than anyone could have imagined. This novel, woven together in the voices of its five main characters, reveals the complexity of human nature in its portrayal of fierce love, searing grief, self-hatred, surprising tenderness, and attraction that survives even while it destroys. In the end, one question remains: in a world where intentions dont always have the expected outcomes, should the truth prevail in every situation, regardless of the cost?