I really enjoyed the book. I wasn't sure that I would, the premise isn't really something that would have drawn me in but, since I've liked everything else Seanan/Mira has written, I gave it a shot. It was well worth it. As with all of her books, time flew by and I finished it all too soon. There was a big reveal for the protagonist that I saw coming from miles away as a reader. I think that we are supposed to see it coming; the suspense was in awaiting the character's realization. The ending was almost physically painful, since Big Things are about to happen. Fortunately, the next book is coming out reasonably soon.

I would recommend this for anybody with an interest in genetic engineering, and ethics in medicine. Also, anybody with a tapeworm. Also, tapeworms with an anybody.