The glamorous world of big-city geisha is familiar to many readers, but little has been written of the life of hardship and pain led by the hot-springs-resort geisha. Indentured to geisha houses by families in desperate poverty, deprived of freedom and identity, these young women lived in a world of sex for sale, unadorned by the trappings of wealth and celebrity.

Sayo Masuda has written the first full-length autobiography of a former hot-springs-resort geisha. Masuda was sent to work as a nursemaid at the age of six and then was sold to a geisha house at the age of twelve. In keeping...