The novel revolves around the life of the eponymous country doctor and his niece, Mary Thorne, who grows up alongside the wealthy Gresham family, falling in love with the son, Frank Gresham. However, Mary's illegitimate birth and lack of fortune present obstacles to their union. The story explores themes of social class and morality, as Doctor Thorne holds a secret that could change Mary's fortunes and the Gresham family's financial woes. As the characters navigate the rigid structures of Victorian society, the novel delves into the complexities of inheritance, love, and the pursuit of happiness, ultimately questioning the true value of money and status.

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