My Sister's Keeper (film) - Changes From Book

Changes From Book

The most notable difference involves the ending, which the director decided to change against Picoult's wishes. In the novel, Anna dies after being left brain dead from a car accident, and her usable organs are recovered with Campbell's permission, including the vital kidney for Kate, who goes into remission. In the film, Kate dies peacefully from her cancer and Anna does not donate her kidney.

Other story threads were altered:

• The book is set in the state of Rhode Island; the film is set in the state of California.
• Julia Romano is completely omitted. In the book she is an adviser to Anna and Campbell Alexander's love interest.
• Jesse commits numerous arson attacks in the novel before eventually being confronted by Brian.
• The relationship between Anna and Campbell is not explored as deeply in the film, and Campbell is a more central character in the book.
• The history of Campbell and Judge is explained towards the end of the book, during a conversation Campbell and Julia have.
• In the book, Sara is a brunette whereas in the movie, she is blonde.
• In the film, it is revealed that Kate, whilst picking out a dress for the hospital prom, has a massive tantrum and storms off, soon coming across a beautiful wig that she wants to wear to the event. In the novel, Anna makes Kate feel better by making a couple of jokes to the hairdresser on how to style Kate's head for the hospital prom.
• In the film, Kate and Taylor sneak into a hospital room and make love to each other. In the book, it's just a kiss.
• In the book, Anna is thirteen, in the film, she's eleven.