Between 1978 and 2001, 63 women disappeared from Vancouver's Lower Eastside. "How could this have happened?" is a question that will haunt the families of the missing for the rest of their lives. While a lumbering, largely unconcerned police department is partly to blame, Maggie de Vries thinks this is too simple an answer. Most if not all the women in question were prostitutes and/or drug addicts, and so it was relatively easy for law enforcement officials and politicians to ignore the mysterious disappearances of people considered by society to be second-class citizens. Missing Sarah is de Vries's attempt to remind us that these women had dreams and hopes, and families who loved them. In clear, honest (and, at times, honestly naive) prose, the author recalls her adopted sister Sarah's early, outwardly happy middle-class childhood, and the powerlessness the family felt as the young sibling became more and more entrenched in a downtown milieu of drugs and sex. By her teens Sarah was running away from home at every opportunity, and eventually the family saw her only a few times a year, usually during the holidays. And then they stop hearing from her at all.