My sister 's Keeper ( film ) - Wikipedia My sister 's Keeper ( film ) My Sister 's Keeper Theatrical release poster Directed by Nick Cassavetes Produced by Stephen Furst Scott Goldman Mark Johnson Chuck Pacheco Mendel Tropper Screenplay by Jeremy Leven Nick Cassavetes Based on My Sister 's Keeper by Jodi Picoult Starring Cameron Diaz Abigail Breslin Alec Baldwin Jason Patric Sofia Vassilieva Joan Cusack Music by Aaron Zigman Cinematography Caleb Deschanel Edited by Jim Flynn Alan Heim Production company Curmudgeon Films Distributed by New Line Cinema Release date June 26, 2009 ( 2009 - 06 - 26 ) Running time 109 minutes Country United States Language English Budget $30 million Box office $95.7 million My Sister 's Keeper is a 2009 American drama film directed by Nick Cassavetes and starring Cameron Diaz, Abigail Breslin, Sofia Vassilieva, Jason Patric, and Alec Baldwin. Based on Jodi Picoult 's novel My Sister 's Keeper, on June 26, 2009 the film was released to cinemas in the United States, Canada, Ireland, Mexico, and the United Kingdom. Contents 1 Plot 2 Production and cast changes 3 Cast 4 Reception 4.1 Critical response 4.2 Box office 4.3 Awards 5 Soundtrack 6 External links Plot Kate Fitzgerald ( Sofia Vassilieva ) has acute promyelocytic leukemia. Conceived by in vitro fertilization, her younger sister Anna ( Abigail Breslin ) was brought into the world as a savior sister. She is a genetic match to her older sister and can donate compatible organs, blood, and tissue to help her. When Kate turns 15, she goes into renal failure and 11 - year old Anna knows that she will be forced by her parents to donate one of her kidneys. She also realizes that she may not be able to live the life she wants to lead -- she will not be able play sports, drink alcohol, or be a mother in the future. Anna tells her parents that she does not want to be a donor and sues them for medical emancipation and the rights to her own body. Her father Brian ( Jason Patric ) understands her, though her domineering mother, Sara ( Cameron Diaz ), who leads an obsessive campaign to keep Kate alive, is indignant at her decision. Attorney Campbell Alexander ( Alec Baldwin ) agrees to work for Anna as her guardian ad litem, suing for partial termination of parental rights. He has agreed to take the case because he has epilepsy, and is sympathetic to her predicament. The film is interlaced with flashbacks that detail Kate and Anna 's close relationship, as well as how Kate 's illness has affected her siblings, including their brother, Jesse. In a flashback, Kate meets a fellow cancer patient, Taylor Ambrose ( Thomas Dekker ), whom she begins dating. He asks her to the hospital 's prom for teen patients ; there, they slow - dance, then have sex. A few days later, Kate begins to worry as she has not seen Taylor since the dance. She learns that Taylor has died and attempts suicide by overdosing on painkillers, but Anna stops her. Kate expresses hope that after she dies, she will see Taylor. Kate makes a request to go to the beach one last time. Brian obtains permission and discharges her from the hospital for the day. Sara overreacts and demands that Kate be returned to the hospital immediately. Brian angrily refuses and threatens Sara with a divorce if she does not join them. Sara shows up at the beach, where they enjoy one final family outing. During the hearing, Jesse reveals that Anna is actually acting under Kate 's instruction ; Kate, not wanting to live any longer, had persuaded Anna to refuse to donate her kidney. Anna had wanted to give Kate her kidney and had been upset at Kate 's decision. Sara is finally forced to acknowledge what Kate has been trying to tell her all this time : she is ready to die. Later that day, Kate dies sleeping, with her mother by her side. After her death, Campbell states that Anna has won the case. The family moves on with their lives. Sara, who gave up practicing law to look after Kate, returns to work, Brian retires from firefighting and counsels troubled youths, and Jesse receives an arts scholarship in New York. Anna reveals that every year on Kate 's birthday they go to Montana, which was her `` most favorite place in the world ''. She concludes that she was not born merely to save her sister, she was born because she had a sister, and that their relationship continues even in death. Production and cast changes Upon the original creation of the film adaptation, sisters Dakota Fanning and Elle Fanning were cast to play Kate and Anna respectively. However, when Dakota heard that she would be required to shave her head for the role, she dropped out of the film as then did Elle. The two sisters were replaced, with Abigail Breslin taking on the lead role as Anna Fitzgerald and Sofia Vassilieva on the role of Kate Fitzgerald. Cast Abigail Breslin as Anna Fitzgerald, Kate and Jesse 's eleven - year - old younger sister. Cameron Diaz as Sara Fitzgerald, Kate, Anna and Jesse 's overprotective mother, and Brian 's domineering wife. Sofia Vassilieva as Kate Fitzgerald, a teenage girl who has acute Leukemia. She is reason her younger sister, Anna, was engineered. Olivia Hancock And Alexandra Casteele as Young Kate Fitzgerald Jason Patric as Brian Fitzgerald, Kate, Jesse and Anna 's father, Sara 's husband. Chris Kinkade as Dr. Nguyen David Thornton as Dr. Chance Evan Ellingson as Jesse Fitzgerald, younger brother of Kate, who is dyslexic. Brennan Bailey as Young Jesse Fitzgerald Paul Christopher Butler as Three - year - old Jesse Alec Baldwin as Campbell Alexander E.G. Daily as Nurse Susan Lin Shaye as Nurse Adele Joan Cusack as Judge De Salvo Heather Wahlquist as ' Aunt Kelly, Sara 's sister and Kate, Jesse and Anna 's maternal aunt. Thomas Dekker as Taylor Ambrose, Kate 's boyfriend / lover who eventually dies from his illness. Emily Deschanel as Dr. Farquad Reception Critical response The film received mixed reviews from critics. Rotten Tomatoes reports that 47 % of reviews for the film were positive, based on 126 reviews. Another aggregate review site Metacritic reported 51 % positive reviews based on 28 reviews. Box Office In its opening weekend it placed 5th with a total of $12,442,212, behind Transformers : Revenge of the Fallen, The Proposal ( second weekend ), The Hangover ( fourth weekend ), and Up ( fifth weekend ). The film left theatres on October 8, 2009 with a domestic total of $49,200,230 with a further $46,459,927 from foreign markets. It has grossed $95,660,157 worldwide. Awards Year Award Recipient Result 2009 Teen Choice Award Choice Summer Movie Drama My Sister 's Keeper Won 2009 ALMA Awards Outstanding Actress in Motion Picture Cameron Diaz Won Young Artist Awards Best Performance in a Feature Film -- Leading Young Actress Abigail Breslin Won Best Performance in a Feature Film -- Supporting Actor Brennan Bailey Nominated Best Performance in a Feature Film -- Supporting Actress Sofia Vassilieva Won Soundtrack Trailer : Vega4 -- `` Life Is Beautiful '' TV spot : James Blunt -- `` Carry You Home '' Plain White T 's -- `` 1, 2, 3, 4 '' Tyrone Wells -- `` More '' Movie : Don Ho -- `` Tiny Bubbles '' E.G. Daily -- `` Life Is Just a Bowl of Cherries '' Priscilla Ahn -- `` Find My Way Back Home '' Jimmy Scott -- `` Heaven '' Regina Spektor -- `` Better '' Jonah Johnson -- `` With You '' Greg Laswell -- `` Girls Just Want to Have Fun '' Pete Yorn -- `` Do n't Wanna Cry '' Phil Xenidis -- `` Kill Me '' Jeff Buckley -- `` We All Fall in Love Sometimes '' Edwina Hayes -- `` Feels Like Home '' Hana Pestle -- `` These Two Hands '' External links Official website My Sister 's Keeper on IMDb My Sister 's Keeper at Box Office Mojo My Sister 's Keeper at Rotten Tomatoes My Sister 's Keeper Soundtrack Official website hide Films directed by Nick Cassavetes Unhook the Stars ( 1996 ) She 's So Lovely ( 1997 ) John Q. ( 2002 ) The Notebook ( 2004 ) Alpha Dog ( 2006 ) My Sister 's Keeper ( 2009 ) Yellow ( 2012 ) The Other Woman ( 2014 ) hide Organ transplantation in fiction Novels and short stories Frankenstein ( 1818 ) Les Mains d'Orlac ( 1920 ) A Gift from Earth ( 1968 ) Coma ( 1977 ) Pegasus in Flight ( 1990 ) Flatlander ( 1995 ) My Sister 's Keeper ( 2004 ) Never Let Me Go ( 2005 ) Unwind ( 2007 ) Films The Hands of Orlac ( 1924 ) Frankenstein ( 1931 ) Mad Love ( 1935 ) The Hands of Orlac ( 1960 ) Hands of a Stranger ( 1962 ) Night of the Bloody Apes ( 1969 ) The Amazing Transplant ( 1970 ) Percy ( 1971 ) The Incredible 2 - Headed Transplant ( 1971 ) The Resurrection of Zachary Wheeler ( 1971 ) The Thing with Two Heads ( 1972 ) Mansion of the Doomed ( 1976 ) Coma ( 1978 ) Parts : The Clonus Horror ( 1979 ) Fleisch ( 1979 ) The Man with Two Brains ( 1983 ) Body Parts ( 1991 ) Body Bags ( 1993 ) The Eye ( 2002 ) Dirty Pretty Things ( 2002 ) 21 Grams ( 2003 ) The Island ( 2005 ) Turistas ( 2006 ) Awake ( 2007 ) Seven Pounds ( 2008 ) Repo ! The Genetic Opera ( 2008 ) My Sister 's Keeper ( 2009 ) Never Let Me Go ( 2010 ) Repo Men ( 2010 ) The Harvest ( 2013 ) Pound of Flesh ( 2015 ) Television `` Spock 's Brain '' ( 1968 ) The Brain of Morbius ( 1976 ) `` Appointment on Route 17 '' ( 1988 ) `` Phage '' ( Vidiians ) ( 1995 ) Three Rivers ( 2009 - 2010 ) Coma ( 2012 ) iZombie ( 2015 ) Music `` Gary Gilmore 's Eyes '' ( 1977 ) Concepts Organ trade Organlegging Brain transplantation Body horror GND : 1023036835 VIAF : 316753200 Jump up ^ Fleming, Michael ( February 12, 2008 ). `` Breslin, Vassilieva to star in ' Keeper '. Duo replaces Fanning sisters in New Line film ''. Variety. Retrieved February 13, 2008. ^ Jump up to : `` My Sister 's Keeper ( 2009 ) ''. Box Office Mojo. Retrieved January 12, 2012. Jump up ^ `` Dakota Fanning Steps Down From ' My Sister 's Keeper ' Role ''. Starpulse.com. February 13, 2008. Retrieved January 12, 2012. Jump up ^ `` My Sister 's Keeper ''. Rotten Tomatoes. Retrieved December 7, 2009. Jump up ^ `` My Sister 's Keeper ( 2009 ) : Reviews ''. Metacritic. Jump up ^ `` Weekend Box Office Results for June 26 -- 28, 2009 ''. Box Office Mojo. Retrieved January 12, 2012. Jump up ^ `` Teen Choice Awards winners ''. Retrieved from `` https://en.wikipedia.org/w/index.php?title=My_Sister%27s_Keeper_(film)&oldid=846317211 '' Categories : 2009 films English - language films 2000s drama films 2000s legal films American films American legal drama films Films about cancer Films about death Films about dysfunctional families Films about lawyers Films about sisters Films based on American novels Films directed by Nick Cassavetes Films set in California Hidden categories : Use mdy dates from July 2015 Official website different in Wikidata and Wikipedia Wikipedia articles with GND identifiers Wikipedia articles with VIAF identifiers Talk Contents About Wikipedia Wikiquote Български Čeština Deutsch Español فارسی Français Galego Bahasa Indonesia Íslenska Italiano עברית ქართული Nederlands 日本 語 Norsk Polski Português Русский Svenska Türkçe 中文 13 more Edit links This page was last edited on 17 June 2018, at 23 : 16 ( UTC ). 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Question: who dies in my sister's keeper movie
Answer: Kate