The novel is a unique blend of family saga and historical fiction, told from the perspective of Ruby Lennox, whose narrative begins before her birth and spans over three generations of women in her family. Ruby's story is interwoven with "footnotes" that delve into the lives of her ancestors, revealing secrets, tragedies, and the complexity of their relationships. The book explores themes of motherhood, loss, and identity, while providing a humorous and poignant look at life in the 20th century England.