The cover is a simple picture of the daughter, Lia Lee, dressed in traditional Hmong attire. Looking at the picture, she is seemingly staring right into the camera without any overt emotion being expressed. I think that the image emphasizes the significance of culture and traditions for even one as young as Lia (she seems to be around 7 or 8 years old in the picture), and I believe author employs this picture to emphasize her argument on how doctors need work to develop greater "cultural competence." I think that the author would want a doctor to look at this picture and perhaps realize that while she is a young child with a medical disorder, she is also part of the larger Hmong community and their traditions.