She talks about her and her husband’s longing for a child, their joy when she became pregnant, and the immense sadness when after 20 weeks it turned out that their unborn child had serious physical abnormalities. She also talks about the almost inhumanely obstructive attitudes she faced in the Texas health care system when making what was already such a difficult decision. The title thus has a double meaning—it is about the actual choice that women make, as well as the freedom of choice that they are denied in far too many parts of the world.