In 1936, Bluet is the last of the Kentucky Blues. In the dusty Appalachian hills of Troublesome Creek, nineteen and blue-skinned, Bluet has used up her last chance for "respectability" and a marriage bed. Instead, she joins the historical Pack Horse Library Project of Kentucky and becomes a librarian, riding up treacherous mountains on a mule to deliver books and other reading material to the poor hill communities of Eastern Kentucky.

Along her dangerous route, Bluet confronts many who are distrustful of her blue skin. Not everyone is so keen on Bluet's family or the Library Project, and the impoverished Kentuckians are quick to blame a Blue for any trouble in their small town.

Inspired by the true and historical blue-skinned people of Kentucky and the dedicated Kentucky Pack Horse Library Project, The Book Woman of Troublesome Creek provides an authentic Appalachian voice to a story of hope, heartbreak and raw courage and shows one woman's strength, despite it all, to push beyond the dark woods of Troublesome Creek.