This book investigates the complex and dynamic relationship between the natural environment of the Mississippi River and the development of New Orleans. It examines how the city's unique geography, particularly its position on the river delta, has shaped its history, culture, and urban form. The work explores the constant struggle to control and coexist with the powerful forces of nature, from floods and hurricanes to the very flow of the river itself, and how these interactions have defined the city's identity.

The book is recognized for its detailed exploration of the environmental history of New Orleans, focusing on the critical role of the Mississippi River in shaping the city's development and identity. It is often cited for its nuanced understanding of the complex relationship between urban life and natural forces in a unique geographical setting. The work is considered a significant contribution to the study of American urban history and environmental studies, offering insights into the challenges of living in a deltaic region.