1. General Impressions

Gather initial thoughts and broad opinions about the book.

• The novel traces many years of Marion’s life. Which parts of his life did you find most compelling? Did the book successfully hold your interest through his journey?
• Did Cutting for Stone change your understanding of the medical industry and community? Discuss the most effective ways the book delves into this topic.

2. Personal Reflection and Connection

Encourage readers to connect the book’s themes and characters with their personal experiences.

• Which character did you connect with the most? Why did you find them the most engaging? 
• The novel moves through important historical events, cultural institutions, and even through different countries. Which section of the novel resonated most with you, or did you find the most compelling? 
• Marion often feels like an outsider. Could you relate to this feeling? 
• How did you feel about the novel’s depiction of faith? Do you think faith is something confined to religious practice, or does it underpin the human experience more broadly?
• ShivaMarion’s storyline can be read as an allegory for the loss of childhood innocence. Do you think coming-of-age necessarily entails a measure of loss? Why or why not?

3. Societal and Cultural Context 

Examine the book’s relevance to societal issues, historical events, or cultural themes.