A short medical romance story that highlights the importance of communication. For two career driven people who work in a field where communication is important, it seems they can't manage to do it at all when it comes to their personal life. However, they are given a third chance with the help of a baby. Although, a baby is not enough to fix problems in a relationship, it did give the a starting point to see if they wanted to fix it. I liked Leon and Lizzy as individual people. However, their behavior as a couple raised so many questions. Accountability for their actions to each seemed to be only held to one person and the other one got a free pass especially when saying something they should apologize for. A lot of blame was placed on the parents, understandably so, but the parents weren't the ones acting irrationally in their relationship. The story is good but highlights the need for communication, understanding and shows what love can do when given freely.

Who are Leon and Lizzy? Where are they? What did they just finish watching? Where are they each from? How did they meet? How long since they've last seen one another? The author is very descriptive when it comes to Leon's looks!! I could picture him in my mind. What were lives like for each of them growing up? How is Lizzy feeling after the first team meeting she is at? What is HLHS? WHat does it mean to Lizzy and Leon? Who are Gabrielle and Mateo? I loveed how in love with each other they were/are. Can Lizzy and Leon ever figure out this journey of life that is throwing them for a loop? Especially Lizzy with all her emotions. Will they ever open up fully and trust one another? Read and see what happens!

This is a Medical Romance, and this is the 3rd book in the Double Miracle at St. Nicolino's Hospital series. I really wanted to love this book, but I just found it just ok. I did not end up caring about any of the characters, and I found the storyline to be just ok. I was kindly provided an e-copy of this book by the publisher (Harlequin Medical Romance) or author (Annie O'Neil) via NetGalley, so I can give honest review about how I feel about this book. I want to send a big Thank you to them for that.

I really enjoyed this book. Leon and Lizzy first met when they were interns in New York. There they were friendly competitors and later became lovers. Both focused mainly on their careers with no interest in a long-term relationship. They agreed that when their internships ended, Leon would return to Italy and Lizzy to Australia. Lizzy didn't count on falling in love with Leon. With no indication he felt the same, she took her broken heart home and channeled her pain into her work.

Years later, Leon and Lizzy met again at a conference in New York. To their surprise, the sparks between them burned just as hot as they used to. One night of passion, for old times' sake and closure, should have been the end of it. Then the little smiley face showed up on the pregnancy test. Ironically, Lizzy got a phone call from Leon shortly after that, asking her to come to Rome for three months. He wants her expertise in treating conjoined twins. There's no way she can say no to the opportunity, but the baby complicates matters.

I admired Lizzy. She remembers that Leon didn't want children or marriage, and she only wants him to be available when the child wants to know about its father. She doesn't expect anything else. I loved that she didn't beat around the bush or put off telling him, informing him almost as soon as she got off the plane. To say that Leon was stunned would be putting it mildly. He surprises himself and Lizzy by not only insisting on being part of the baby's life but proposing marriage. Lizzy refuses, of course, as she won't marry him without love. Leon insists on her staying at his home rather than a hotel, hoping to convince her over time.

I enjoyed the development of the relationship between Lizzy and Leon. Both of them have pasts that make them cautious. Leon's father left him and his mother when Leon was very young. His mother became bitter and taught Leon that love was trouble. Lizzy's mother loved her father obsessively, to the point he could do no wrong. She gave up everything to be what he wanted. Her father was very controlling, and nothing Lizzy did was ever good enough for him, so she is wary of men who "take charge." There are some instances where Leon and Lizzy butt heads, usually when she thinks he's overstepping, and she calls him out on it. I liked watching them spend time together, getting to know who they are now. I liked the scenes of Leon showing Lizzy around Rome and seeing both workaholics discover the benefits of having fun.

While Lizzy knew from the beginning that her feelings for Leon hadn't gone away, Leon took longer to admit to his. I enjoyed seeing his transformation from a committed bachelor to a man yearning for the family he didn't know he wanted. It wasn't an easy transition, and Leon fought hard at first. But once he hit that "aha" moment, he was all in. He just needed to convince Lizzy. It went pretty well until Lizzy misunderstood an overheard phone call and ran instead of confronting Leon about it. I loved his way of finding her and seeing Leon reveal his vulnerability. The ending was great, with one unexpected complication. I hope to see more of them in Giovanni and Autumn's story.

One of the other things I enjoyed about this book was the story of the twins and their parents. The details of the treatment and surgery fascinated me and kept my interest through those parts of the book. The intensity of Lizzy's surgery on baby Hope had me glued to the pages until it was done. I can't wait to read the rest of their story in the next book.