Independent-minded women are considered highly unsuitable in Kate Donahue's wealthy Long Island society. Yes, Kate would lead a proper life should she marry, but her dream of practicing medicine would surely be thwarted by her domineering fiancé. To follow her dream, she must take dramatic measures. So when she reads a newspaper ad seeking a qualified small-town physician, Kate embarks on a new life in the Wild West.
Upon her arrival in the rugged settlement of Craig, Colorado, Kate is disappointed to discover that even in the West, no one wants a woman doctor. As she struggles to establish her practice, she is kept busy fending off the unwanted attentions of a local rancher, a man unnervingly reminiscent of the ex-fiancé she left behind in New York. Romantic entanglements are the last thing on Kate's mind. That is, until she meets Lucas McCurdy, an Irish immigrant with whom she feels an undeniable connection. But when their relationship inflames a dangerous land battle, Kate and Lucas find themselves defenseless in a lawless town—a perilous position that may cost them everything.