A nip here. A tuck there. Hey, everyone's doing it, right? But what about plastic surgery, well, you know, down there? Get ready for a laugh-out-loud journey with middle-aged housewife Caroline Klass as she contemplates elective surgery on the one body part that good Catholic girls generally don't discuss around the dinner table. Hootchieplasty, as Caroline quickly christens the procedure, becomes a near obsession after she first learns of it from a handsome television doctor. Believing it may be the answer to some of her midlife woes, Caroline, along with her hilarious best friend, Meredith, journey down what might possibly be the most intimate and least-discussed path toward self-improvement. Armed with an acerbic wit, an understanding husband, and an American Express Gold Card, Caroline leaves no sacred cow unscathed and no embarrassing moment left to the imagination. Mostly confident, sometimes raunchy, and always flat-out funny, Caroline's observations on what it means to be a woman of a certain age will have you wondering exactly how far someone will go to get Back to Twenty.