Inside-out flower is a hardy but delicate-looking rhizomatous perennial native to the shady forests of the Pacific Northwest. It forms dense colonies of finely divided, compound leaves and produces airy clusters of small, white to pale yellow flowers in late spring, with sharply reflexed petals that give the appearance of being turned ‘inside out.’ While it prefers moist, well-drained soils and deep shade, it can tolerate drought by going dormant during the hot part of the summer. Inside-out flower thrives as an understory groundcover in coniferous and mixed woodlands and shady gardens. Ecologically, V. hexandra contributes to forest floor diversity and provides early nectar for pollinators such as native bees, while its dense growth helps suppress invasive species in intact habitats.