The perspective of this book was told from the first-person perspective of Ann Patchett. The perspective details focused on the relationship between Ann and Lucy. It focused on the details of their lives from their time in Iowa to the different paths their lives took. Ann discussed not only her life and struggles, but she also discussed Lucy's life and struggles, even though Lucy was far away in Scotland or somewhere else. The perspective allowed the reader to feel connected to Lucy even though she was not present. Ann was a reliable narrator who discussed Lucy from a detailed and factual perspective. She described Lucy's surgeries and the outcome of her face in great detail. She described Lucy's struggles with reconstructive surgeries, depression and drugs with an emotional and sympathetic perspective of a best friend.