The Middlepause offers a vision of contentment in middle age, without sentiment or delusion. Marina Benjamin weighs the losses and opportunities of our middle years, taking inspiration from literature, science, philosophy, and her own experience. Spurred by her surgical propulsion into a sudden menopause, she finds ways to move forward while maintaining clear-eyed acknowledgment of the challenges of aging. Attending to complicated elderly parents and a teenaged daughter, experiencing bereavement, her own health woes, and a fresh impetus to give, Benjamin emerges into a new definition of herself as daughter, mother, citizen, and woman.