| Cast overview, first billed only: | |||
| Cecilia Roth | ... | Manuela | |
| Marisa Paredes | ... | Huma Rojo | |
| Candela Peña | ... | Nina | |
| Antonia San Juan | ... | Agrado | |
| Penélope Cruz | ... | Hermana Rosa | |
| Rosa Maria Sardà | ... | Madre de Rosa (as Rosa María Sardá) | |
| Fernando Fernán Gómez | ... | Padre de Rosa | |
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Toni Cantó | ... | Lola |
| Eloy Azorín | ... | Esteban | |
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Carlos Lozano | ... | Mario |
| Fernando Guillén | ... | Doctor en 'Un tranvía llamado Deseo' | |
| Manuel Morón | ... | Doctor 1 | |
| José Luis Torrijo | ... | Doctor 2 | |
| Juan José Otegui | ... | Ginecólogo | |
| Carmen Balagué | |||
Argentine Manuela Echevarria, an organ transplant coordinator at a Madrid hospital, ran off from her husband in Barcelona eighteen years ago upon learning that she was pregnant, their son, Esteban, who she has never told about his father despite his curiosity, and her husband who didn't know about the pregnancy when she ran off. An event coinciding with Esteban, an aspiring writer, turning seventeen leads to Manuela feeling the need to return to Barcelona to look for her husband. There, she ends up further acting as the maternal figure for people in need. One is a young nun named Sister Rosa, who she meets through her old friend, a transvestite prostitute who has assumed the name Agrado in her agreeable nature. Rosa has a strained relationship with her own conservative mother, as she is consumed with caring for her ill husband, who suffers from Alzheimer's. The other is actress Huma Rojo, currently appearing as Blanche Dubois in a stage production of A Streetcar Named Desire, which ... Written by Huggo
Almodovar is masterful: he has created a film that seeps into you and rips apart your insides. Each moment is flawlessly crafted- the cinematography and light are lush, the writing is heart-wrenching. Loaded with irony and paradox, the story deals sensitively with a plotline that could have been sensationalistic. The strongest feature is perhaps the acting here, which is consistently superb, particularly in the case of Cecilia Roth, the lead actress. This may be the best film I have ever seen.