I have to be honest — I was 100% drawn to this book because of the cover! I mean… gorgeous, right? Unfortunately, my impression based on the cover led me to expect something intense, dramatic, perhaps tragic… and while there’s a lot that works about this book, the initial impressions don’t really pan out.

Anatomy takes place in Edinburgh in 1817, presenting a view of the state of medicine and society at that time. The wealthy and titled live comfortable, oblivious lives, while the poor suffer and starve, and sickness spreads through the city without much in the way of effective medicine to stop it.

In this world, physicians may be respected, but surgeons certainly are not. Their work is considered only steps above butchery. To learn the art and science of surgery, anatomists must rely on “resurrection men”, grave robbers who dig up fresh corpses to earn a living.

Jack Currer is one such resurrectionist, a teenaged boy who supports himself through this gruesome and dangerous work, while dreaming of a better life. 17-year-old Hazel Sinnett is a young lady, niece of a viscount, comfortably settled in her family’s gorgeous home, pampered, and expected to marry her cousin, to whom she’s been unofficially engaged since childhood.

But Hazel nurtures a secret dream of becoming a physician, and she’s determined to pursue it, no matter the obstacles. Disguised in her late brother’s clothing, she begins attending classes at the Royal Edinburgh Anatomists’ Society in preparation for the physicians exam, but is soon discovered and tossed out.

Undeterred, she decides to continue studying on her own. With the rest of her family conveniently away for several months, she arranges for Jack to bring her bodies to study, and soon opens the doors of her family home to any poor people who need medical attention. While her practice flourishes, she gains skills and knowledge, and is soon a doctor in all but certification.

But something sinister is happening in Edinburgh. Other resurrectionists of Jack’s acquaintance have gone missing, and the business of digging up graves becomes more dangerous by the day. Amidst the danger, Hazel begins joining Jack on his work in the graveyards. As they spend time together, they develop trust and friendship, and then stronger emotions, although their difference in social station would seem to be insurmountable.

I was excited to read Anatomy, as the early history of modern medicine is truly fascinating. This is not the first book I’ve read set in this time and place, with a similar focus on the work of anatomists. However, while I expected that the plot would be mostly about the challenges of a young woman pursuing a career in science — something off-limits to her because of her gender and her social status — that’s not really what the book delivers.

Instead, the book takes a turn toward more of a thriller, with disappearances and sinister deaths, and there’s a supernatural/fantasy element that I wasn’t expecting — and honestly, that threatened to ruin the story for me. I loved reading about Hazel’s burning desire for an education and to do good in the world, but the climax and resolution negate the sense of historical reality established earlier in the book.

Also, this may be my own fault, but I assumed this was adult fiction. Only as I got further along did it occur to me that this might actually be YA — and yes, it’s listed as such on NetGalley, so I suppose I just didn’t notice that ahead of time. Maybe this is why the plot ended up feeling a little trite and simplistic to me. I wanted rich historical fiction; instead, I got a watered-down historical setting that focuses on romance and a fantastical element that’s just weird.

As for the romance — well, Hazel and Jack are both very likable characters, and I appreciated that they could develop feelings for each other, but their first kiss is anything but romantic:

Hazel pressed her shoulders up against Jack, partly to avoid the chill leaching from the moist earth through her jacket, but partly because his warmth — the solidity of his presence — made her less dizzy with fear. It anchored her. They were there, together. Whatever — whoever — was out there, neither of them would have to face it alone.

Wondering where this is taking place?

She had kissed Jack Currer in a grave, and he kissed her back, and even with everything else they had faced, that moment was the hardest Hazel’s heart had beaten the entire night.

I think if I’d realize this was a YA book, I might have had more tolerance for it as I was reading it. As it was, I felt a little let down by the realization that the intense, presumably adult drama I’d been expected had turned out to be a teen-aged love story with an otherworldly twist.

I would read more about anatomists in the early 1800s or historical fiction about Scotland in that time period or about women trying to study medicine at a time when they weren’t permitted to do so — in a heartbeat! Sadly, this book didn’t deliver what I’d hoped for.

Anatomy has a great setting and interesting premise, but the overall structure and content of the story was a letdown for me. It’s not a bad read at all, but this is a prime example of expectations getting in the way of enjoyment. Perhaps if I’d more accurately anticipated the tone and content, I might have appreciated it more.

I’m going to be looking forward to hearing other people’s thoughts on this book. It did keep me turning the pages, even though I found many aspects borderline ridiculous. Your mileage may vary.