Heart surgeon Suzette Kendall is stunned when her husband, Hyland, admits his yearning for a child. From the beginning they had decided that having children was not an option, as Suzette feared passing along the genes that landed her mother in a mental institution. But Hyland proposes a different idea: a baby via surrogate. A young woman named Dorothy Muscarello is chosen as the one who will help make this family complete. For Dorrie, surrogacy (and the money that comes with it) are her opportunity to leave behind a troubled past and create a future for herself. But this situation forces all three of them to face a devastating uncertainty that will reverberate in the years to come.
Alice and her husband, Jake, have a loving marriage and thriving business, but Alice still feels that something is missing. Carla is a strong-willed young girl who is acting as caretaker to her six-year-old brother, Junior. Years ago, her mother left the family behind in Honduras to make the arduous, illegal journey to Texas. But when her grandmother dies, Carla takes fate into her own hands. The lives of Alice and Carla will intersect in a profound and surprising way.