Set in North Carolina, At First Sight is the sequel to Sparks's previous book, True Believer, written in the same year.

The only people that know of the pregnancy are Jeremy's long time best friend Alvin, and Lexie's grandmother, Doris.

Doris is the town psychic and has the specialty of predicting the sex of a newborn baby, and records it all in her book.

Jeremy receives an anonymous email saying only “how do you know the baby is yours?” This paired with his supposed inability to conceive leaves Jeremy with his mind racing, suspecting it may have been someone else's, Rodney's in particular, but once again reminding himself that Lexie wasn't capable of such a thing and that nothing had ever become of her and Rodney, and he decides to not tell Lexie.

Jeremy searches for what the email might be referring to, and after numerous times going through and analyzing the book, he finds it; a prediction from four years earlier of a miscarriage with Lexie's initials and the name of the father.

The two end up in an even more heated argument after closing on their new house, and this time when Jeremy leaves he's heading back to New York City for his bachelor party.

There he discovers the sender of the anonymous emails was his best friend, Alvin who doesn't want the couple to get married after such a short period of time.

When Jeremy and Lexie go to their ultrasound appointment, they learn that an amniotic band threatened their baby with possible deformities if it were to attach, or even its life.

In the first novel, Jeremy is a writer that goes to a small town in North Carolina, Boone Creek, to chase a story.

[2] Publishers Weekly describe the ending as “majorly manipulative and totally effective.”[3] John M. Formy-Duval from about.com, shares his opinion of the novel being a cliché.

[4] Nicholas Sparks has five children, Miles, Ryan, Landon and twin daughters, Lexie and Savannah.

Sparks admits to getting emotional and even crying when writing his famous novels, and gets his inspiration from numerous unexpected places.

[6] Message in a Bottle (1999), A Walk to Remember (2002), The Notebook (2004), Nights in Rodanthe (2008), Dear John (2010), The Last Song (2010), The Lucky One (2012), Safe Haven (2013), The Best of Me (2014), The Longest Ride (2015), and The Choice (2016) are the most current novels having been made into films.