I think my biggest problem with this book was the unnecessary details. For example, he starts off with something interesting about how a teacher discovered Shiva's having given up speech...and promptly goes off for several paragraphs about the school and organizations and details that didn't add anything to the story. By the time he got back around to the teacher, I'd forgotten why she was interesting and why I'd cared in the first place. This is the problem I have with literary fiction overall. It tends to get too bogged down in details that we really don't need and the story suffers from it. I distanced myself from the story every time the details came out to smack me in the face and couldn't quite get back to the level of caring that I'd gotten to.
Not my cup of tea, but I'm not upset that I finished, and I did quite like Hema and Ghosh.