John Waters is a Mississippi petroleum geologist who hasn't had sex with his wife in years because she's haunted by two miscarriages. Lily is beginning to look worn, she has some cellulite, plus she carries a gaudy handbag John doesn't approve of. Understandably, when a hot realtor with a big horsey mane of hair seduces him, John is all in - until he finds out Eve contains the demon spirit of John's dead former lover (the love of his life) Mallory, Miss Mississippi 1982 (which is engraved on her tombstone). Mallory became a demon when she was raped and murdered, and she enters the successive bodies of sexual partners when they orgasm. She occupies Eve, John's business partner Cole, and finally Lily. John and Mallory were blissfully happy and copulating like rabbits until Mallory had two abortions at John's insistence. It's these abortions that push her over the edge into obsessiveness, stalking, violence, and madness. John later reflects on the abortion vacuum hose and concludes that everyone and everything is in danger of being aborted: "That metal machine was absolutely against nature, created in opposition to nature. I'm not religious or anything, but I felt like the hose that had sucked up that fetus could suck up the entire world, that the whole universe could be sucked into the black maw of that vacuum pump." Why didn't John use a condom if he was anti-abortion - especially after Mallory had already had one abortion? Why did Mallory have two abortions if she desperately wanted a baby? You're asking good questions.
John realizes that Lily's miscarriages were karma resulting from Mallory's abortions.
John and his lawyer Penn Cage have discerned how pregnant women feel about ending pregnancies. "Did she want the abortion?"
"I don't think any woman really wants an abortion."
"Point taken...."
The book has lots and lots of sex. Sometimes it seems like Ikea furniture is being assembled: "Eve placed him against her opening and tried to sit down." Once, there was a big word I couldn't be bothered to look up: "After Mallory's deepest drives had been sated to some degree, she could spend hours exploring, caressing, and kissing - but all that was lagniappe." There's so much sex it finds its way into interactions between John's 7-year-old daughter and her pet: "Ana pushed the cat's bottom, but Pebbles pressed back against her hand and glared like a woman groped in an elevator."
Race is awkwardly treated. The Waters' "maid" (so-called even though she also does childcare) is a Mammy figure who speaks in black dialect. John has his home office in the detached "slave quarters" on his property, and these are never referred to as as an office, but always, dozens of times, as the "slave quarters." John constantly retires to the "slave quarters" in order to escape Lily and fantasize about Eve or bone her. He once pointed out to Mallory that she had attended a preppy private school, "while he'd graduated from public school 'with the blacks'." We're gratuitously told that when some elevator doors open, "Waters and Penn got inside with a black nurse."
Perhaps like me you are irked by all the HIPAA violations in badly written books. Doctors running around informing the universe about their patients' conditions. "Last time [Cole] was in my office, his pressure was way up," Cole's doctor tells John. "And that scotch isn't doing his liver any favors. Or his diabetes."