I think that the change in perspective was not confusing, but entertaining. Jodi Picoult made it clear by not only telling you who's perspective the chapter was from, but each character had their own designated text font to make the difference more clear. In most books I read, I dislike change in perspective, but Jody Picoult made it entertaining.

The beginning draws you in and throughout the book you learn slightly more about each character, which makes the book more and more clear. Then, there is the AH-HAH! moment at the end that makes you feel surprised and appreciate the author's brilliance.

I have never read a book with an ending as surprising and entertaining as this one. There is sadness, frustration, but lots of love intertwined in each page, and from the very beginning I couldn't find myself without it for more than an hour.