For over half a century, Father Damien Modeste has lived a secret life as a woman, while serving his beloved people, the Ojibwe, on the remote reservation of Little No Horse. Now nearing the end of his life, Father Damien dreads the discovery of his physical identity. To complicate his fears, his quiet life changes when a troubled colleague comes to the reservation to investigate the life of the perplexing, difficult, possibly false saint, Sister Leopolda.

Father Damien alone knows the strange truth of Sister Leopolda's piety, but the facts are bound up in his own secret. He is forced to choose: Should he reveal all he knows and risk everything? Or should he manufacture a protective history? In a masterwork that both deepens and enlarges the world of her previous novels set on the same reservation, Louise Erdrich captures the essence of a time and the spirit of a woman who feels compelled by her beliefs to serve her people as a priest. The Last Report on the Miracles at Little No Horse is a work of an avid heart, a writer's writer, and a storytelling genius.