Fiona Maye is a High Court judge in London presiding over cases in family court. She is fiercely intelligent, well respected, and deeply immersed in the nuances of her particular field of law. Often the outcome of a case seems simple from the outside, the course of action to ensure a child's welfare obvious. But the law requires more rigor than mere pragmatism, and Fiona is expert in considering the sensitivities of culture and religion when handing down her verdicts.
But Fiona's professional success belies domestic strife. Her husband, Jack, asks her to consider an open marriage and, after an argument, moves out of their house. His departure leaves her adrift, wondering whether it was not love she had lost so much as a modern form of respectability; whether it was not contempt and ostracism she really fears. She decides to throw herself into her work, especially a complex case involving a seventeen-year-old boy whose parents will not permit a lifesaving blood transfusion because it conflicts with their beliefs as Jehovah's Witnesses. But Jack doesn't leave her thoughts, and the pressure to resolve the case—as well as her crumbling marriage—tests Fiona in ways that will keep readers thoroughly enthralled until the last stunning page.

全书由八个短篇组成，分别从八个位于童年、青春期和青年等不同阶段的男性视角出发，以意识和潜意识交接地带的经验为揭示对象，有时荒唐，有时伤感，有时温柔，有时骇人，有时魔幻，却都无限接近真实，接近每个人的内心。
麦克尤恩素来擅长以冷静细腻的笔触打磨幽暗题材，赋予其精妙无双的质感。八个故事各如黑晶棱镜之一面，折射出日常生活中平凡人性所可能误陷的种种魔怔与梦魇。平地与深渊，生与死，真实与玄幻，伦常与变态之间的界限恍若蛛丝般轻薄，看后令人或怅然或倒吸凉气，同时又觉得其魔力不可抗拒。
以如此短薄篇幅，麦克尤恩却惊才遽现，征服了文坛。所录每一篇都可谓杰作，令人过目难忘。此书是阅读和了解这位天才作家的最佳切入点。
《最初的爱情，最后的仪式》是麦克尤恩的处女作与成名作。