The lives of women in 15th-century China are illuminated in this engrossing novel.

Tan Yunxian was a real historical figure who published a book about her career as a physician, but little is known about her personal life. See creates a rich story about a girl born into an aristocratic family. That accident of birth should have written her fate: limited education, bound feet, arranged marriage, childbirth, and a life spent entirely behind the walls of family compounds. She doesn’t escape all of those things, but after the early death of her mother, she’s raised by her paternal grandparents, who are both doctors, and given an unusually advanced education, including in the healing arts they practice. Yunxian’s life is constrained by rules governing her class and gender, and she is literally never alone—even when she sleeps, her maid sleeps at the foot of her bed. Her family’s wealthy extended household has an elaborate structure, and she learns early to negotiate the gradations among first wives, second wives, and concubines and to recognize that, like them, she is valued for beauty and fertility and little else. She breaks a rule, though, when she becomes friends with Meiling, the daughter of Midwife Shi, who delivers the family’s babies. As Yunxian’s grandmother says, midwives are “indispensable”—male doctors are not allowed to look at or touch their female patients—but they’re also reviled for their contact with blood and practice of abortion. The lifelong friendship between Yunxian and Meiling will have an indelible impact on both women, and in a later portion of the book they’ll even be involved in an attempted murder trial. Yunxian’s arranged marriage is a fairly happy one, but as she matures, she grows more focused on practicing as a physician. She sometimes has insight into the inequities of feudal China, especially the treatment of working-class women. But she’s hardly revolutionary; even though she experienced the brutal pain of foot binding and watched her mother die of an infection caused by it, she binds the feet of her three daughters without question. Although the book’s pace can sometimes slow, it’s packed with historical detail.

Women’s friendships in a world where they have little freedom shape a quietly moving book.