Hidden Jewel finds Ruby trying to find a new life for her children and desperate to protect her beloved daughter from the dark secrets she harbors. Raised amidst the privileges in New Orleans, Pearl aspires to become a doctor, but when an unfortunate accident occurs to one of her twin brothers, Pearl's dreams are threatened and Ruby runs, once again back to the bayou. And when one of Pearl's younger brothers becomes deathly ill, she must journey to the backwaters to find her mother and uncover the mysterious secrets of her past.