"An excellent exploration of the complicated facets of teen pregnancy, adoption, and sacrifice." -- Voice of Youth Advocates (VOYA) "This compassionate story rings true." -- Publishers Weekly "The novel's great strength is the emotional depth of its characters and the complexity of their relationships. A heartfelt and hopeful story about coming of age as an adoptee." -- School Library Journal "Hand explores adoption's multiple dimensions with great insight and sensitivity. Inclusive and illustrative: an engaging lesson in timeless family values." -- Kirkus Reviews "Cynthia Hand is the master of pulling at your heartstrings. The How & the Why tells both sides of an adoption story with love, compassion, and care.

You'll be reaching for your tissue box with this one -- if you can stop turning pages long enough, that is." -- Brigid Kemmerer, New York Times Bestselling Author of Letters to the Lost "Beautifully rendered and superbly shaped. Hand has crafted an absorbing novel that focuses on family, friendship, teen pregnancy, adoption, personal choices, and serious health issues. Give this exquisite novel to readers seeking an emotionally intricate story." -- Booklist (starred review).