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At nineteen, Josephine Lutnear is just months away from becoming the youngest fleet surgeon in history.

And she’s miserable.

As a young girl, Jo escaped the moon Aetna’s destruction after watching the Unity Corporation murder her family. Eight years later, the Unity started a war that left Jo running for her life. Alone aboard a hidden rebel fleet, she grew up, studying the only academic course open to her, medicine.

At every step, the terms of Jo’s life have been dictated by events beyond her control. Just once she would like to make a choice all her own.

When a band of genetic outcasts needs a doctor to cure a deadly plague, Josephine eagerly volunteers. But she will soon discover that the Timcree’s culture won’t accept help from a Gravlander like her. As her choices are once again taken away, Jo will stumble toward the truth that she will never find purpose until she faces her past, but Jo isn’t sure that she has the courage needed to deal with the pain.