An expected phone call from her obstetrician turns the world of pregnant Rachel and her husband upside down. Thrilled at what they consider to be a miracle pregnancy, they learn that their unborn child has a genetic condition called Klinefelter syndrome, which can cause a range of developmental disabilities. The doctor at the genetic counseling center advises them to terminate the pregnancy. They are frightened, confused, and heartbroken. This compelling novel traces the journey of Rachel and Dave Gold from their decision to continue the pregnancy, through the gradual process of accepting that their child has special needs and learning to plan for a life where some level of disability may always be a consideration.