Elena Knows is a heart wrenching novel about motherhood and how this influences a woman's perception of the truth. It's award winning quality is evident in the well-written contrast between Elena's assertive, forceful mind and her deteriorating, unreliable body. However, this novel was particularly challenging as central characters (who we likely wish to respect) have opposing values questionable stances towards women's issues which contradict most readers' opinions. Whilst this made the story evermore insightful and reflective, it increased the challenge of reading.