"Deeply empathetic yet unflinching in its gaze... an unforgettable exploration of responsibility and redemption, the dangers of good intentions, and the folly of believing anyone can decide what's best for another's life."--Celeste Ng

Inspired by true events that rocked the nation, a profoundly moving novel about a Black nurse in post-segregation Alabama who blows the whistle on a terrible wrong done to her patients, from the New York Times bestselling author of Wench.

Montgomery, Alabama, 1973. Fresh out of nursing school, Civil Townsend has big plans to make a difference, especially in her African American community. At the Montgomery Family Planning Clinic, she intends to help women make their own choices for their lives and bodies.

But when her first week on the job takes her down a dusty country road to a worn-down one-room cabin, she's shocked to learn that her new patients, Erica and India, are children--just eleven and thirteen years old. Neither of the Williams sisters has even kissed a boy, but they are poor and Black, and for those handling the family's welfare benefits, that's reason enough to have the girls on birth control. As Civil grapples with her role, she takes India, Erica, and their family into her heart. Until one day she arrives at the door to learn the unthinkable has happened, and nothing will ever be the same for any of them.
 
Decades later, with her daughter grown and a long career in her wake, Dr. Civil Townsend is ready to retire, to find her peace, and to leave the past behind. But there are people and stories that refuse to be forgotten. That must not be forgotten.
 
Because history repeats what we don't remember.