The central character in Ludmila Ulitskaya's celebrated novel The Kukotsky Enigma is a gynecologist contending with Stalin's prohibition of abortions in 1936. But, in the tradition of Russia's great family novels, the story encompasses the history of two families and unfolds in Moscow, St. Petersburg, and the ruins of ancient civilizations on the Black Sea. Their lives raise profound questions about family heritage and genetics, nurture and nature, and life and death. In his struggle to maintain his professional integrity and to keep his work from dividing his family, Kukotsky confronts the moral complexity of reproductive science.