Lincoln Hospital opened in Durham in 1901 to serve the community's African Americans as a center for patient care and medical education. With the onset of the Civil Rights Movement, however, Lincoln's competition increased, and it closed in 1976. Still, the hospital is remembered today through the Lincoln Community Health Center and in the hearts and minds of those who contributed to its history.

In the 1910s, both W. E. B. Du Bois and Booker T. Washington praised the black community in Durham, North Carolina, for its exceptional race progress. Migration, urbanization, and industrialization had turned black Durham from a post-Civil War liberation community into the "capital of the black middle class." African Americans owned and operated mills, factories, churches, schools, and an array of retail services, shops, community organizations, and race institutions. Using interviews, narratives, and family stories, Leslie Brown animates the history of this remarkable city from emancipation to the civil rights era, as freedpeople and their descendants struggled among themselves and with whites to give meaning to black freedom. Brown paints Durham in the Jim Crow era as a place of dynamic change where despite common aspirations, gender and class conflicts emerged. Placing African American women at the center of the story, Brown describes how black Durham's multiple constituencies experienced a range of social conditions. Shifting the historical perspective away from seeing solidarity as essential to effective struggle or viewing dissent as a measure of weakness, Brown demonstrates that friction among African Americans generated rather than depleted energy, sparking many activist initiatives on behalf of the black community.

This sweeping history of Durham County, North Carolina, extends from the seventeenth century to the end of the twentieth.