Marion is born a conjoined twin in Addis Ababa. Family life gets off to a very rough start and from there we follow his life, to adulthood and onwards to New York. The joy of this book is the family love and complexities, against the background of troubled Ethiopia, its own complexities, and its medical world. In summary, I loved this when I first read it 10 years ago, and I then loved it again. Be warned, it will break your heart.