Samantha—the fashionable wife of a successful businessman and doting mother of one—struggles to negotiate the spheres of intimacy between her husband and her family of origin. Samantha loves her husband, Richard, and she loves her sister, Elizabeth. But the two of them can barely exist in the same room, which has caused the entire family years of emotional distress. Yet it's not until Samantha's sister is diagnosed at age forty-three with lung cancer that her family and her marriage are tipped into full-blown crisis. A story of love, loss, forgiveness, learning to live with grief, and healing, Appearances will resonate with anyone who has ever experienced tension in their familial relationships—even as it serves as a poignant reminder that no amount of privilege can protect us from family conflicts, marital difficulty, or mortality.