This novel is a scathing critique of British colonial rule in Burma during the 1920s. The protagonist, a disillusioned teak merchant, struggles with the bigotry and racism of his fellow Europeans, and his forbidden love for a Burmese woman. The narrative explores the effects of imperialism on both the oppressors and the oppressed, highlighting the hypocrisy, corruption, and inhumanity that result from such a system.

The novel follows the harrowing experiences of Australian surgeon Dorrigo Evans during and after World War II, focusing on his time as a prisoner of war in a Japanese labor camp on the Thai-Burma Death Railway. The narrative weaves between past and present, exploring themes of love, memory, and survival as Dorrigo grapples with his haunting memories and the profound impact of his wartime experiences on his life and relationships. Through its vivid and poignant storytelling, the book delves into the complexities of human suffering and resilience.