While you could consider this book to be a continuation of Tibetan Foothold and just more of the same, it both is and isn't. There's less about working with the refuges, but more about what's wrong with the way the aid is being supplied and distributed. It's obvious now with the passage of time, that some of the issues that Murphy raises and their consequences have come to pass. It's still an interesting read though, especially as you get the feeling that this is a Nepal that no longer exists, due to the increase modern development and tourism. Just like Tibetan Foothold though, the bits I enjoyed the most were ho her travels, especially the trek at the end of her stay.