Life hasn’t always been easy for Shyama, a woman in her mid-forties whose husband abandoned her when their daughter was still young. But she has finally found happiness with Toby, a man ten years her junior. She and Toby want to have a child together, but Shyama’s doctor tells her that her womb has become "inhospitable."("An inhospitable womb! There, she had been looking for a title for her autobiography.") While Shyama and Toby begin their search for the perfect surrogate, four thousand miles away a young woman in rural India named Mala becomes convinced that carrying a child for an international couple will be her ticket out of poverty—and as her life intersects with Shyama’s, the two women soon discover that an apparently simple arrangement may be far more complicated than it once seemed.