Boston, 1903. Dr Ravell is a young obstetrician whose reputation for helping couples conceive has made him a rising star. He is flattered when a family of illustrious physicians turns to him to treat one of its own members. Erika von Kessler is a beautiful, ambitious - and married - opera singer who has struggled for years to become pregnant. As the young doctor's attraction to her increases, and his treatments prove ineffectual, Erika's despair worsens. And when Dr Ravell takes a great risk that may imperil his promising career - a secret he can share with no one - it is a decision that will change their dreams and destinies. What ensues is an unforgettable love story that sweeps across snowy Boston, a lush island in the Caribbean to the graceful piazzas and opera stages of Italy.