Good versus Evil

The primary plot throughout the entire novel is that of good versus evil. Biblical symbolism runs throughout the book, exemplified by the nurses' nickname for Dr. Larch, "St. Larch." Homer has an inner struggle with good versus evil when it comes to Dr. Larch performing abortions. Homer doesn't realize that the fetus is a living being until he reads it in Gray's Anatomy, and this is when Homer decides that abortion is wrong and vows never to perform one.

Homer and Candy also struggle with good versus evil when they fall in love while Wally is missing in action in the war. The struggles worsen when Candy gets pregnant again and they choose to keep and raise the baby, Angel, as if they adopted him from St. Cloud's instead of telling everyone the truth.

Good versus evil also exists in the cider house rules. Mrs. Worthington...