Virginia, 1924. Ruth Ann Riley is 17 years old when she gives birth to a baby girl. Unwed and under-educated, she's deemed "feeble-minded" -- just like her own mother -- and sent to live in a state-run institution where the doctors decide she must be sterilized "for the greater good." But Ruth Ann won't give up her baby Annabel or the hope of future children without a fight, even though her hardscrabble life and sixth-grade education have in no way prepared her to take on the Supreme Court of the United States. As Ruth Ann comes of age in a daunting world and struggles with secrets and scandals in her past, she finds unexpected allies, friendship and the possibility of love in the most unlikely of places.