The story tackles the controversial subject of capital punishment. Convicted of a double murder, a man awaits execution. In a macabre twist, he wants to donate his heart to the daughter of a woman, whose first child, he was convicted of murdering. As can be expected, she vehemently opposes this once she finds out who the intended donor is. While he waits on death row, miracles happen in and around him. Is he an innocent sacrificial lamb or a wily charlatan? Can one woman see past the death of one child and accept such a 'gift' so that her other child may live? The plot is rather reminiscent of 'The Green Mile', and perhaps, because of that, makes this my most favorite of all of Picoult's books that I have read.