Abandoned as in infant because of her incessant crying, Billie Girl is raised by two women who are brothers. Her life, a gender-bending puzzle filled with dark humor, is a series of encounters with strangers who struggle along with what they are given: a bigamist husband, a long-lost daughter named after a car, a lesbian preacher's wife, a platonic second husband who loved her adoptive father. Twin themes of sexuality and euthanasia run throughout. In a journey from hard-dirt Georgia farm to end-of-life nursing home, Billie Girl comes to understand the mercy of killing.