On her website, Cuzzolino explains that she wrote the book in response to a question from her daughter, Jillian Mei. The child, who was adopted from China in 2001, wanted to know what her birthmother might tell her given the chance. So, Cuzzolino imagines a Chinese mother writing a letter to the baby girl she is placing for adoption. The mother explains Chinese law, which limits family size, requiring many babies to be placed in orphanages. She talks of wanting her daughter to have a "prosperous life, filled with much happiness," wishes that can come true only through her adoption into a new family. Still, the birthmother tells her baby, China will always be a part of you. She goes on to describe the country's landscape, traditions and celebrations. It ends with a plea to "look to the light of the moon ... and there you will see my face, which is the reflection of your own beautiful face."

I found the story sweet, although not spectacularly written or illustrated. The writing is very simple and straightforward, with no real images or phrases that stand out. It's a nice story, but it lacks the kind of sparkle that makes me want to read it over and over again (or at least not groan when my child hands it to me for the 50th time that week). I feel similarly about the illustrations, which are chunky and rough - I don't hate them, but they don't particularly move me either. The thing I do like about the book is the perspective it gives on birthmothers, especially those in China, who bravely choose to place their daughters in orphanages rather than take extreme measures to "honor" Chinese law. I also liked that Letter of Love from China offers loving affirmations that will help adopted children empathize with the mothers who gave birth to them.