The novel was largely written while Obreht was attending Cornell University.[6] Portions of the novel were excerpted in The New Yorker in June 2009.[7] When Obreht was asked to summarize the story by a university journalist, she replied, "It's a family saga that takes place in a fictionalized province of the Balkans. It’s about a female narrator and her relationship to her grandfather, who's a doctor. It's a saga about doctors and their relationships to death throughout all these wars in the Balkans."[8]
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