Thank God they gave this film to Nick Cassavetes, who also helmed 2004’s surprisingly good adaptation of Nicholas Sparks’ The Notebook.  Cassavetes exercises a restraint and humanity in his direction of tearjerkers that brings them to life beautifully, focusing on the true tragedy of the story and the characters (rather than on the goal of rending tears from his audience).  The result is a sincere story of truthful highs and lows, and some great performances out of actors like Cameron Diaz and Jason Patric that’s beyond their usual caliber.

The first act is a little choppy, due mainly to Cassavetes’ insistence upon staying true to the novel.  Lots of awkward fading in and out, title cards, and a few too many voices narrating.  Still, the narrative demands these to a degree, and serve the final act well.  The climax is also a little forced / awkwardly written.  But again, you can see why it was necessary (they needed a climax, to follow conventional dramatic structure).

A special shout out to newcomer Sofia Vassilieva, whose portrayal of the ailing Kate is absolutely brilliant - and to the makeup team, led by Eryn Krueger Mekash - who brought this girl’s sickness to life so believably.  Heather Wahlquist, who plays Aunt Kelly, is also an excellent presence in the film (without saying much at all).

Despite its flaws, My Sister’s Keeper is a story of beauty and tragedy, told with restraint and charm.  Good for a cry, despite your age or sex.