Author Jodi Picoult Has Admitted That She Felt Like The Movie Adaptation Ruined “My Sister’s Keeper” After The Director Completely Changed Her Book’s Emotional Ending

If you need reminding, My Sister’s Keeper tells the story of a 13-year-old girl named Anna who was born as a savior sister after her older sister Kate was diagnosed with leukemia. 

Kate and Anna’s parents had Anna so that she could save Kate’s life through the donation of her umbilical cord blood, but as Kate’s cancer continues throughout her life, Anna is forced to donate whatever else her sister needs to survive. 

When she turns 13, Anna is told that she must donate one of her kidneys to Kate, but Anna decides to sue her parents for medical emancipation instead. After the judge rules in her favor, Anna suggests that she is planning on donating her kidney anyway because she wants her sister to live.

However, as Anna’s lawyer drives her home after the trial, they are T-boned by a truck, and Anna is left brain-dead. Anna’s kidney is donated to Kate, whose life is saved while Anna dies.  

The book ends with Kate reflecting on the tragedy and opening up about the guilt that she feels over what happened to her younger sister.