4 stars. I liked this storyline just as much as the first book. I enjoyed the feminist values of this book. Women who fought tooth and nail for what they believe in and achieving their goals. I.e. becoming a doctor back when it was unheard of. I value that. History has a way of doing women dirty and it still happens today. This book was beautiful, a little terrifying at times(surgery back then 😳) and very heartwarming. I am very happy with how it ended and all the loose ends were tied up nicely. I look forward to reading more from this author. If you enjoy historical fiction and a mix of love, loss, grief, friendships, a little science/doctor stuff, then I definitely recommend this.