This book is a biographical account of three generations of women in China, spanning the years 1909 to 1991. The narrative follows the lives of the author's grandmother, a warlord's concubine; her mother, a high-ranking official in the Communist Party; and the author herself, who grew up during the Cultural Revolution before moving to the West. The book presents a vivid portrayal of the political and social changes in China during the 20th century, as seen through the eyes of these three women.

"Falling Leaves" is a heartbreaking autobiography that recounts the life of a young girl who grows up in a wealthy but abusive family in 20th century China. Despite being the daughter of a prosperous businessman, she is treated as an outcast and blamed for her mother's death, who died shortly after her birth. The story portrays her struggle for acceptance and love within her family, her journey through the cultural revolution in China, and her eventual success as a physician in the U.S. It's a poignant exploration of the themes of familial bonds, resilience, and the human spirit's ability to overcome adversity.

Set in 19th century China, the novel centers around the lifelong friendship of Lily and Snow Flower. Despite their different social classes, the two communicate through a secret language known as "nu shu" written on a fan. The story explores the rigid societal norms of the time, particularly the practice of foot binding and arranged marriages. As they navigate through the hardships of their lives, their friendship is tested, leading to a devastating betrayal that impacts their relationship.