Jonathan Demme's concert film capturing the Canadian guitarist and songwriter in reflective mood as he presents his country-flavoured Prairie Wind album after recovering from a life-threatening brain aneurysm. Songs from Young's biggest-selling album Harvest also feature, including The Needle and The Damage Done.

In March 2005, Neil Young was diagnosed with a brain aneurysm. Four days before he was scheduled for a lifesaving operation, he headed to Nashville, where he wrote and recorded the country folk album Prairie Wind with old friends and family members. After the successful operation and recovery period, he returned to Nashville that August to play at the famed Ryman Auditorium, once again gathering together friends and family for this special performance.