Humans living on a space station run by a twisted demagogue cover themselves in grafted-on skin flaps to make up for the loss of their reproductive organs. While they die out from an inability to reproduce, a few humans survive on the Earth below in isolated underground pockets, and one of them may have the ability to restore the planet. One skin-grafting storyteller begins branding herself with the story of Joan, fomenting a rebellion on the station that spreads to the surface.
This book is just weird. Not good-weird. Just weird.