The O'Malley clan is indeed a complicated family. Early in their relationship and just prior to their marriage, Regan and Hugh had a brief falling out and took a break. At that time, Regan had a one-timer with her ex-high school beau Dan Travis. Now, sixteen years later, young Katie O'Malley needs a liver transplant, and the DNA testing is confusing because it is not a perfect match for Regan and Hugh. It turns out that Regan forgot that it only took one time for there to be consequences, and the search is now on to re-connect with Dan Travis for half of his liver for Katie.
On the surface, the theme of "My Daughter Must Live" might be a lesson from Biology 101. Instead, the film focuses on the melodramatic dilemma of Regan discovering that her old flame Dan had changed his name to Mason Pritchard, in order to avoid the wrath of a local godfather from whom he stole money.
The relentless Regan tracks down the "new" Dan Travis in Rockford, Illinois, where he has a fiancée, Amelia, who is very pregnant. Dan does not want Amelia to know about his past, and he fears that he may be killed by the local don if his past identity is discovered.
One of the most interesting characters in the film is the godfather, Wagner, who styles himself as "a man of respect." Yet he has no difficulty in taking thousands of dollars in hush money from Regan in order to allow Dan/Mason to transplant half of his liver to little Katie. Regan has drained her bank accounts and taken out a second mortgage to pay the don.
The emotionally packed conclusion ties up all of the loose ends of the film, as a new and happy "extended family" is depicted in a fun-filled barbecue with delicious hotdogs. Dan/Mason has recovered from his surgery, and little Katie has a brand new liver.
The theme of a mother's love for her daughter clearly comes across in Regan's act of atonement and a substantial amount of debt for a past transgression of a single roll in the hay. Though understandable, it was only disappointing that Wagner did not put in an appearance, or at least help to foot the bill, for the barbecue.
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