The novel follows a young Nigerian woman who emigrates to the United States for a university education. While there, she experiences racism and begins blogging about her experiences as an African woman in America. Meanwhile, her high school sweetheart faces his own struggles in England and Nigeria. The story is a powerful exploration of race, immigration, and the complex nature of identity, love, and belonging.

"Changes" is a novel that explores the complexities of modern African life, particularly for women, through the story of its protagonist, a young woman named Esi. After enduring an unhappy marriage, Esi decides to divorce her husband in pursuit of independence and personal fulfillment. She then enters into a polygamous marriage with a man named Ali, believing it will allow her more freedom and respect. However, as the narrative unfolds, Esi confronts the realities and challenges of her choices, including societal expectations, the intricacies of love, and the struggle for a sense of identity amidst the changing cultural landscape of contemporary Ghana. The novel delves into themes of feminism, tradition, and the evolving roles of women in society.