Longlisted for the Booker Prize - Winner of the Desmond Elliott Prize - Shortlisted for the Goldsmiths Prize - Longlisted for the Dylan Thomas Prize - Shortlisted for the Sunday Times Prize

This lyrical debut novel is at once a passionate coming-of-age story, a meditation on illness and death, and a kaleidoscopic journey through one woman's life--told in part by the malevolent voice of her disease.

Lia, her husband Harry, and their beloved daughter, Iris, are a precisely balanced family of three. With Iris struggling to navigate the social tightrope of early adolescence, their tender home is a much-needed refuge. But when a sudden diagnosis threatens to derail each of their lives, the secrets of Lia's past come rushing into the present, and the world around them begins to transform.

Deftly guided through time, we discover the people who shaped Lia's youth; from her deeply religious mother to her troubled first love. In turn, each will take their place in the shifting landscape of Lia's body; at the center of which dances a gleeful narrator, learning her life from the inside, growing more emboldened by the day.

Pivoting between the domestic and the epic, the comic and the heart-breaking, this astonishing novel unearths the darkness and levity of one woman's life to symphonic effect.