Trigger warnings!
There are some things in here that aren't in your average book on genetics, so I'm going to make a little list of things to watch out for if you read this. If I've missed anything, let me know and I'll add it. The book as a whole is not offensive at all, see my note after the list.
- fetal development and ways it can go wrong... This is discussed AT LENGTH, and it's not a bad thing, but I could imagine this being a TERRIBLE read if you're pregnant or have been lately.
- discussion of research done on animals... It's not condoned by the author necessarily, but I can picture some of my vegan friends being really upset by some of the details of surgery on fetal rabbits or the many, many things done to mice to advance understanding of genetics.
- super squeamish people will find parts of this uncomfortable, and there are a few disturbing photos... the absolute minimum of this is included, it's much less sensational than any other "cabinet of curiosities" type work, and the cool things you learn make it worthwhile. It's much less intense than a trip to the Mutter museum. But there were a couple of points where even I thought "oh, god, that's... ugh," and I am not easily grossed out. When I was 12, I asked a doctor if I could have local anesthetic and watch my own wrist surgery.
- racial stuff... handled in a pretty classy way by the author, but anything that discusses the history of genetics research is going to include some uncomfortable moments. This includes brief Nazi stuff, and other historical "people did that to PEOPLE?" moments.
The most impressive thing about this book (to me, but there are many positive qualities on display) is how the author includes anything that will further the text, but nothing else. If I wrote this, there would be way too many digressions about the life stories of the "mutants" and scientists involved and it'd be an Erik Larson style 700 pages. If most scientists wrote this, it probably wouldn't include such a diversity of research and case studies and/or be so clear and plainly but eloquently written. Rarely is opinion mentioned, which is refreshing in writing on genetics; Nazi experiments on siblings, however, are appropriately called out as horrifying. It's impressive that this can be so illuminating and provocative without offending.
As for what's great about this book, I hardly know where to begin. You'd be better served by reading it than the lengthy thoughts it inspired. If you read it on its own, you will find it fascinating if at times a little dry, and you will learn a lot about how genes make people. If, on the other hand, you have a background studying biology, evolution, genetics, biochemistry, or related fields, you will find it connects lots of dots and illuminates a big picture in a really satisfying way. Or at least, that was my experience. And if you make a habit of reading pop books about biology and science, you will probably (like most people here) be amazed how well crafted it is compared to anything like it.