What if the only way to reclaim reproductive freedom was to rewrite the very nature of birth itself? Ten years after Roe v. Wade is overturned, twenty-two-year-old biologist Larkin finds herself unexpectedly pregnant in a country where choice is no longer an option. Initially uncertain, she embraces motherhood-until a devastating diagnosis changes everything. Trapped by Tennessee's strict abortion laws, she is forced to carry her baby to term, only to endure the heartbreak of losing her hours after birth. Years later, Larkin joins a radical scientific movement that could change everything: a ground-breaking technology that replaces gestation with incubation, allowing women true control over their reproduction. When she uses it to bring her second daughter, Ava, into the world, she believes she has finally reclaimed her autonomy. But as Ava grows and begins to question the very choice that created her, Larkin is challenged in ways she never imagined. Ava is a powerful, emotionally charged exploration of motherhood, bodily autonomy, and the far-reaching consequences of restrictive legislation. In a future shaped by loss and innovation, mother and daughter must confront the ultimate question: what does it truly mean to have a choice?