Homer Wells grows up in a rural Maine orphanage under the tutelage of Dr. Wilbur Larch, a physician who both delivers babies and performs illegal abortions. Dr. Larch trains Homer in obstetrics and gynecology, hoping the boy will follow in his footsteps. Yet Homer refuses, unwilling to conduct the procedures. Homer seizes the opportunity to leave the orphanage after meeting Wally and Candy, an attractive couple who come to Dr. Larch seeking an abortion. While working on the apple orchard owned by Wally’s parents, Homer falls in love and soon begins an illicit affair. Fifteen years later, a shocking discovery leads Homer to back to the orphanage—and to a decision that will ultimately alter the course of his life.