The novel centers around the transformative bond that forms between a quirky and creative young woman who becomes a caregiver for a wealthy young banker left paralyzed from an accident. Despite their contrasting backgrounds and initial reservations, they develop a deep connection that challenges their preconceived notions of love, life, and what it means to truly live. As she becomes determined to show him that life is worth living, they embark on a series of adventures together that lead to unexpected consequences, forcing them to confront what they are willing to sacrifice for love and each other.

The book serves as a comprehensive guide on the topic of euthanasia and assisted suicide, providing detailed information on methods for ending one's life in the face of terminal illness or unbearable suffering. It addresses the ethical, legal, and practical considerations involved, offering advice on how to approach the decision-making process with dignity and autonomy. The book aims to empower individuals with knowledge and resources to make informed choices about their end-of-life options, while also discussing the broader societal implications of such decisions.

Set in a small Sardinian village, the story follows Maria, a young girl adopted by Bonaria Urrai, a seamstress who secretly serves as an "accabadora," a traditional figure who aids the dying in their final moments. As Maria grows up under Bonaria's care, she becomes entangled in the moral complexities and cultural traditions surrounding life and death. The novel explores themes of family, identity, and the ethical dilemmas of mercy killing, all while painting a vivid picture of Sardinian life and customs.

Charles Maxwell is a thirty eight year veteran CIA agent who has been told he has only six months to live from cancer. He finances a good death by selling $100,000 worth of second rate secrets to the Russians and retreats to a secluded Swiss chalet in the shadow of the Matterhorn. A Soviet dissident, Constantin Vronsky, is hiding nearby. The KGB and the CIA converge, forcing Maxwell into a final deadly game of cross and double cross.