At seventy-seven, Pepper Mills is too old to be a stranger in a strange land. She didn’t choose the Vista View Retirement Community of Austin, Texas—that would be her three grown children—but when she grudgingly moves in, she not only makes new friends, she falls in love. Then the exhaustion, vomiting, and confusion start. Her children and grandchildren worry it’s cancer, dementia, a stroke. But a raft of tests later, the news is even more shocking: she’s pregnant. Once word gets out, everyone wants a piece of her: the press and the paparazzi, activists and medical researchers, all descending on Vista View as Pepper tries to determine her next move. Soon Pepper has some hard decisions to make—and some she’s not allowed to make.