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The memoir traces a woman's journey from childhood curiosity and household apprenticeship into formal midwifery training and extended medical study across continents, documenting the difficulties women encountered in medical schools, hospitals, and professional societies. It recounts her clinical and teaching appointments, efforts to elevate educational and nursing standards, leadership in founding hospital departments and institutions for women and children, and responses to public hostility and institutional exclusion. Interwoven reflections consider migration, professional reform, and the gradual creation of opportunities that allowed more women to pursue clinical practice and medical education.
| Portrait of Marie E. Zakrzewska, M.D. (From a photograph thought to have been taken some time in the ’60’s) | Frontispiece |
| Second location of the New England Hospital for Women and Children, Boston | Page 331 |
| Portrait of Marie E. Zakrzewska, M.D. (From a photograph taken about 1870) | 352 |
| First buildings of the New England Hospital for Women and Children, erected 1872 (third location) | 357 |
| Portrait of Marie E. Zakrzewska, M.D. (From a photograph taken in 1896) | 468 |