Love has set the tone for most of Lily Rose's young life in Cumberland Falls, high in the mountains of Eastern Kentucky. But her perfect world falls apart when her beloved adopted parents are tragically killed and she is sent to live at Red Rose Farm, in the Bluegrass. Lily starts high school and meets her first love, who introduces the idea of a much bigger world to Lily. This relationship spurs her to pursue the grit and glamour of the New York fashion world and a marriage that will nearly cause her demise.

Lily Rose follows Lily as she grows into a New York fashion icon and battles abuse, power struggles, and infertility. In the shadows, we learn about the young woman who gave Lily up and how they will collide. Lily Rose is about love and marriage, infidelity, infertility, and identity. It also calls into questions the old adages blood is thicker than water and nothing is more important than family. Will Lily Rose ever find what she has been searching for? And most importantly, will she be able to stay true to herself in the process?