Do yourself a favor and acquaint yourself with the glossary in the back of the book first. That will make for easier reading.
Kavita gives birth to a daughter who is promptly murdered. She gives birth to another daughter and (with her sister) defies her husband and takes the baby to an orphanage in Bombay. Later she gives birth to a boy who changes the life of her and her husband. However, a price is paid.
In America, two doctors marry. Somer is American and Kris is from Bombay. They find out they are infertile and go to Bombay to adopt a daughter which happens to be Kavita's secret daughter.
The two stories begin to run parallel. What is happening to Kavita and her family in India? What is happening to Somer, Kris, and the young girl in America?
The stories eventually intertwine in a beautiful and meaningful way. This book is about familial love in all of its forms and the importance of identity. There was a lot of food for thought with this book!