The novel explores the life of an autistic man who excels at pattern recognition while working for a pharmaceutical company. His orderly world is disrupted when he is offered an experimental treatment that could potentially "cure" his autism. The story delves into themes of identity, neurodiversity, and the ethical implications of altering the human brain. As he grapples with the decision of whether to undergo the treatment, the protagonist must confront questions about what it means to be normal and whether the changes would fundamentally alter who he is. The narrative challenges the reader to consider the value of individual differences and the societal pressures to conform.

The 10929th greatest book of all time