Elsa Walsh profiles three women of extraordinary achievement: Meredith Vieira, "60 Minutes" television correspondent; Rachel Worby, conductor for the Wheeling Symphony Orchestra; and Alison Estabrook, chief of breast surgery at Columbia Presbyterian Medical Center in New York. Even though the women represent remarkable levels of success, the in-depth portrayals reveal enormous personal costs to each of the individuals. Their separate efforts to balance professional and personal goals often lead to irreconcilable conflicts and then to questions about burdens placed upon women who refuse to follow imposed expectations and blueprints.

Readers will sympathize with Meredith Vieira’s struggle to overcome high-risk pregnancies and retain her highly visible and highly paid position on the CBS news team. The measures established to prevent previous miscarriages and accommodate her medical needs eventually lead to friction and discord among co-workers and staff. As the following anecdote demonstrates, Meredith refuses to separate her roles as journalist and mother. When the baby is born and salary negotiations begin, Meredith brings her infant son to the Tavern on the Green lunch meeting so that she can nurse the baby on demand. The executives are flabbergasted by her behavior and by her announcement that she intends to become pregnant again.

Rachel Worby’s story concerns the tensions between an artist’s work, milieu, and spirit and those associated with the widowed Governor of West Virginia, the man she agrees to marry. Both are accomplished, he is rich, and the love between them is healthy and strong.

Nevertheless, the worlds they occupy impose divisive expectations. She does not conform to the assumed role of Governor’s wife; it is both difficult and impossible to regulate her bombastic and vivacious personality and style.

The final story centers on Alison Estabrook as she struggles to become the chief of breast surgery in a professional world seemingly intent on placing unacceptable barriers in her way. Readers will anguish over this infuriating account of suppression by a patriarchal system.