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While picking up his son and daughter for a weekend visit, Ariennne’s estranged husband Jack (Meloni) tells Adrienne that he wants to move back home. Adrienne is surprised and tells him that she needs time and space to think. It is made clear that Jack left his family for another woman.

With her life in chaos Adrienne drives to Rodanthe, N.C. to tends to her friends bed and breakfast for the weekend. This is where most of the movie is set. The house is rustic, romantic and right on the beach.

There is only one guest for the weekend, Paul (Gere), a surgeon who arrives at the inn with his own emotional baggage. He has flashbacks of a surgery which ended tragically. The family of the patient is suing him.

A storm moves in and the two team up to protect the inn. They dine together, share stories and eventually turn to each other for emotional comfort. A tender, life changing romance starts.

With Adrienne’s help, Paul faces the patient’s family and in doing so faces his own pain. The affection and love she shares with Paul renews Adrienne’s self worth and confidence.

Paul leaves Rodanthe to fly into South America where his estranged son Mark (Franco) lives and practices medicine. Paul carried guilt for passing up the chance on a relationship with his son in favor of his career.

Adrienne and Paul exchange letters, longing to be with each other. A reunion was not meant to be. We learn that during a disaster, the hospital Paul worked at was destroyed and he was killed. Paul's son goes to visit Adrienne and thanks her for "giving (him) back his father".

The impact each had the other was beautiful. They saved each other.