When a phone call from their obste­tri­cian tells a young Jew­ish cou­ple that their expect­ed baby has an extra X chro­mo­some, a con­di­tion called Kline­fel­ter syn­drome, Rachel and David Gold are faced with decid­ing, quick­ly, about con­tin­u­ing the preg­nan­cy. Although a geneti­cist advis­es them to abort due to pos­si­ble devel­op­men­tal or sex­u­al issues, the cou­ple dis­re­gard this and look for­ward to the birth of a much-want­ed sec­ond child. But once their tod­dler begins miss­ing mile­stones, they nav­i­gate the world of spe­cial-needs par­ent­ing and come to an accep­tance of some degree of dis­abil­i­ty. At the same time, they find them­selves con­fronting a career cri­sis and Dave’s brother’s increas­ing chal­lenges to his com­mit­ment to Ortho­dox Judaism. The nov­el deft­ly address­es dis­abil­i­ty and pre­na­tal genet­ic diag­no­sis, sex­u­al­i­ty, and fam­i­ly dynam­ics. The sto­ry­lines por­tray con­tem­po­rary Amer­i­can Jew­ish fam­i­ly issues includ­ing dis­abil­i­ty and intermarriage.