Gertie MacLarsen believes she was given ugliness at birth. Growing up in an estranged home, the only times she feels beautiful are the nights her father comes in to show her the stars. The day of her 16th birthday, the same day that Sputnik traverses the sky, Gertie's life is irrevocably changed. After a family tragedy, her elusive and alcoholic mother sends her to Willow Estate, a private mental institution, where she is thrown into a world of harsh therapies, dangerous hospital politics, and, surprisingly, a sense of family.

Within the walls of Willow Estate Sanatorium,...