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Content Warning: This section of the guide includes discussion of pregnancy loss, illness, death, racism, substance use, and addiction.
On a Saturday morning at The Pines nursing home, Liz and Molly confront Cecily about the results of a DNA test they submitted for her. Liz explains the test shows she is not Cecily’s biological daughter and that her ethnicity is German, contradicting Cecily’s lifelong stories of Norwegian and Irish heritage. The test also identified first cousins for Liz in Rhode Island—where she was born—and North Dakota. Cecily dismisses the results as a mistake, but her denial falters when Liz reveals the most significant finding: The DNA sample attributed to Cecily has matched with a living biological child, born in 1936. Stunned, Cecily wonders aloud about “a living child” (309).
The narrative flashes back to May 1936 in Wilmington, North Carolina. A teenage Cecily wakes in an unfamiliar room, remembering that her baby died during birth. She had escaped the McNaughton Home after the procedure, but collapsed from pain and exhaustion under shrubbery. A gardener found her and carried her upstairs into the house where he worked. Grace, a sharp, elegant woman who lives in the house, intuits that Cecily fled the McNaughton Home after having a baby surgically removed from her, and promises to keep her safe. Too weak to run again, Cecily reluctantly accepts Grace’s care. Then, Grace reveals she was a nurse who was prevented from having her own child years ago and now cares for her ailing father. She tells Cecily that whatever happened was not her fault. Cecily confesses that her baby died because, as the doctor told her, she was not “equipped” to give birth.
Returning to the present at The Pines, Liz struggles to process Cecily’s story of the circus, a reformatory, and an involuntary sterilization. The revelation confirms Cecily is not her biological mother. Cecily, ignoring Liz’s shock, eagerly asks if her baby is truly alive. Molly confirms it appears so. Overwhelmed, Liz questions everything, including whether her father, Sam, was her biological parent and if Cecily ever truly loved him. Cecily explains she was sterilized as a teen for being deemed “feebleminded” after having a relationship with a Black man. Liz accuses Cecily of a lifetime of lies. Cecily insists she is Liz’s mother and again begs to hear about her long-lost child. Liz, though distraught, agrees to tell her everything but first demands the complete truth about her own origins.
In the summer of 1936, Grace gives Cecily $10 and a train ticket to New York City to find her lost love, Lucky. For two months, Cecily searches for him in Harlem, but her money runs out as winter approaches. A stranger suggests that Lucky may not want to be found. Desperate, Cecily travels to Providence, Rhode Island, and locates William Cahill, Senior, the estranged father of Isabelle. Cecily tells him what Isabelle did to her and argues that his failure to love his daughter contributed to the tragic events. Her words seemingly move him, and she persuades him to give her a letter of reference to present to his friend in Newport, where she secures a job as a housemaid.
In the present, Liz presses Cecily for the truth about her own story. Cecily recounts meeting Sam at a sanatorium after years of hardship, including homelessness. Molly expresses her hurt that Cecily never shared these experiences, especially her own infant loss, when Molly was grieving miscarriages. Cecily claims she kept her secrets out of love, to protect her family. Finally, she admits that neither she nor Sam is Liz’s biological parent; they adopted Liz when she was five months old. The revelation sickens Liz, who now understands that Cecily’s abdominal scar is from Cecily’s first child, not her. As Cecily asks again about her baby, Liz tells her, “You have a daughter” (325). Meanwhile, in North Carolina, Clarissa Duncan Montgomery’s daughter Lana prepares to contact their new DNA matches. The family tension erupts when Clarissa’s other daughter, Kate Montgomery, smashes a glass and confesses a long-held secret: She gave up a baby for adoption when she was 15.
After the confrontation, Liz goes home alone, overwhelmed by the revelations and uninterested in exploring her own new genetic relatives. Molly tells her that Evan is arriving for a visit, hinting at a possible reconciliation. At her house, Liz grieves the loss of her identity and the lies told by both Cecily and Sam, the man she knew as her father. Elsewhere, Evan arrives at Molly’s, and they tell Caden about his great-grandmother’s past. Caden, practical and focused on the science, insists they email Cecily’s biological daughter immediately, and Molly agrees. At Clarissa’s house, after the emotional fallout from Kate’s confession, Lana opens her laptop and discovers a new, shocking message.
That night, Cecily lies awake, feeling both joy that her child is alive and regret for her lifelong secrets. She wishes she could tell Sam and wonders if she can find Lucky. She reflects on her life with Sam in Itasca, particularly her tradition of baking 15-layer cakes. This ritual, she recalls, was a secret tribute to Lucky, whose grandmother made similar cakes. Each layer was a silent prayer for him, a way for her to process her grief and infuse love into her new community. She also remembers trying to contact Grace years ago to thank her, but Grace never replied. Cecily had always hoped Grace made it to New Mexico to pursue her dream of being an artist.
A flashback to February 1947 details Liz’s adoption. During a snowstorm in Rhode Island, Sam and Cecily discover a car that has crashed into a tree. The parents are dead, but their infant daughter, Mary Elizabeth, is miraculously alive, having been shielded from the impact by her mother. Sam hands the baby to Cecily, who feels an instant connection. Sam suggests they marry and move to Minnesota to raise the child, and Cecily agrees. After a brief, painful separation while authorities handle the case, they learn the baby’s relatives cannot care for her. Sam and Cecily marry and quickly adopt the baby, renaming her Elizabeth Grace Larson. Cecily, determined to shield Liz from the trauma of her origins, persuades a hesitant Sam to raise Liz as their biological child, a secret they will take with them to their new life in Itasca.
In April 2015, Cecily explains to Liz that she hid the truth out of fear of losing her. She says that Liz was her “doorway” to love and a life with Sam. Liz learns her cancer has not spread and her prognosis is excellent. She connects with her biological family, speaking with her 89-year-old uncle in North Dakota, who tells her about her father. Her son, Eric, is pragmatic about the news, reasoning that Cecily and Sam saved her life. As Liz begins to process her new reality, Molly facilitates the first phone call between Cecily and her biological daughter, Clarissa. Cecily tearfully declares her love to the child she thought she had lost forever.
From May to September 2015, Cecily and Clarissa bond through long phone calls. Lana begins interviewing Cecily for a book. Through another DNA match, they connect with Lucky’s daughter, Reyna Harris, who reveals that Lucky died in 1972. He had built an empire of eleven ice cream store franchises called “Lucky’s.” In September, the families meet in Chicago. Cecily and Clarissa’s emotional first meeting takes place on the steps of the former orphanage, now a law office, where Cecily was abandoned as a child. Later, at Lucky’s grave, Reyna shows Cecily one of Lucky’s notebooks containing a poem he wrote for her on the day Clarissa was born. Seeing his great-grandson, who is the spitting image of a young Lucky, Cecily is overcome. She reflects that despite all the pain, she never stopped believing in impossible things.
In May 1936, Ethel Oglethorpe, an administrator at the McNaughton Home, realizes Cecily has escaped. Knowing Dr. Addington sterilized Cecily and lied that her baby died, Ethel decides to help her. She creates a false death certificate for “Jacqueline DuMonde” and a new birth certificate for the baby, naming her Clarissa Ann Duncan and listing the wealthy adoptive couple as biological parents. Ethel sends the death certificate by post to Miss Peters and separately sends a telegram to the reformatory signed under Dr. Addington’s forged name, ensuring Cecily’s official record will vanish and giving her a chance at a new life.
In September 2019, Clarissa’s daughter Kate, now sober and happy, receives an Ancestry.com message from Matt Kowalski—the son she gave up for adoption decades earlier. Overjoyed, she calls Cecily, who urges her to phone him immediately, calling him her great-grandson. Kate dials the number and tearfully introduces herself as his mother.
The Cost of Protecting Loved Ones comes to full fruition when Liz and Molly present Cecily with the DNA results, which serves as the catalyst for the novel’s final, cascading revelations. The narrative structure, which interweaves the tense 2015 timeline with flashbacks to 1936 and 1947, allows the full weight of Cecily’s history to unfold. This dual timeline creates dramatic irony, as the reader understands the systemic abuses Cecily faced—the forced sterilization and the lie about her baby’s death—at the same time Liz grapples with the personal betrayal of a lifetime of deception. The alternating narratives illuminates the price that often accompanies keeping secrets to protect others. Cecily justifies her actions by explaining that she wanted to spare Liz the “grief, or loss, or sorrow” that defined her own youth and saw the adoption as the only “doorway” to a life with Sam (344; 349). While born from love and fear, this secrecy results in an identity crisis for Liz, who discovers her entire life story is a fabrication. The novel thus demonstrates that well-intentioned secrecy can inflict its own wounds, fracturing the very family Cecily sought to keep whole and forcing her daughter to rebuild her sense of self.
Amid the revelations in each story line, the theme of Survival Through Chosen Family is solidified. When a stranger named Grace finds the teenage Cecily collapsed under a shrubbery and declares, “I’m making you my pet” (311), she rescues the girl, suggesting that strangers can provide the love and support when a biological family fails to. Grace provides not only physical shelter but also important emotional validation, telling Cecily that whatever happened was not her fault—a message Cecily desperately needed to hear. This idea of chosen kinship is later complicated and expanded by the story of Liz’s adoption. Finding the orphaned baby in a snowstorm, Sam and Cecily form a new family out of sudden tragedy, a bond forged by circumstance and immediate love. Cecily’s insists on raising Liz as their biological child. Ultimately, the choice to love this baby is what saves Cecily and garners her a life with Sam. The novel’s resolution brings these ideas full circle as the newly discovered biological relatives meet in Chicago, consciously choosing to forge new, loving relationships that transcend traditional definitions of family, affirming that the most resilient families are often the ones actively constructed through love and acceptance.
The moment Liz realizes Cecily’s abdominal scar is from a different child not her, she grapples with trauma, deceit, and her own identity. The symbol of the scar, previously a mark of their shared maternal history, is abruptly re-signified as evidence of secrets and distress. This revelation forces Liz to undertake the painful process of redefining her identity. Her journey is charted through a series of conversations that contrast biological fact with lived emotional truth. Her uncle, Joe Myer, provides a link to a father she never knew, offering a sketch of a quiet man who created mosaics from broken glass, making beauty from discarded things. In contrast, her son Eric dismisses the biological revelation as secondary to the fact that Cecily and Sam saved her life and raised her with love. Through these interactions, Liz begins to integrate the facts of her origin with the reality of the love that shaped her. Her narrative arc suggests that identity is a complex, ongoing construction comprised of both the family one is born into and chosen family.
Cecily’s story, meanwhile, vividly illustrates The Trauma of Coerced Family Separation as a state-sanctioned practice, not just an individual tragedy. She was sterilized because the court deemed her “feebleminded” for having a relationship with a Black man (245), which roots her personal trauma in the historical context of the American eugenics movement. The state, embodied by the reformatory and a predatory medical system at the McNaughton Home, collude to strip Cecily of her child and her reproductive rights. The epilogue reveals the bureaucratic mechanics of this cruelty through the actions of Ethel Oglethorpe. Ethel’s decision to create a false death certificate for “Jacqueline DuMonde” and a new birth certificate for the baby, listing the adoptive parents as biological, exposes the ease with which records were falsified in black-market adoption rings. Ethel’s act of subversion, giving Cecily “a chance” (363), highlights both the immense power of the institutions and the quiet courage required to defy them. This theme’s generational impact is confirmed when Kate confesses her own long-held secret of giving up a son, revealing a painful legacy of maternal separation that ripples through the family decades later.
The final reunion in Chicago brings several key symbols to a meaningful resolution, transforming a story of loss into one of legacy. At Lucky’s grave, his daughter Reyna shares a notebook containing a poem he wrote for Cecily on the day their daughter, Clarissa, was born. This object provides tangible proof of his love, reframing his departure not as abandonment but as a tragic. This discovery parallels the symbol of the 15-layer cakes, which Cecily reveals was her lifelong, private ritual to grieve and honor Lucky’s memory. The additional revelation that Lucky built an “empire” of ice cream stores called “Lucky’s” creates a symmetry: Both characters created memorials to their love. Their parallel legacies converge in the meeting of their descendants, culminating in Cecily’s final reflection that she “never had stopped believing in impossible things” (360). This sentiment ties directly back to the symbol of the Saint Jude prayer card, the patron saint of lost causes, suggesting that her quiet faith has been validated, proving that love and connection can create a future that transcends even the gravest historical and personal traumas.



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