Thomas Montgomery seeks out troubled ladies that are in need of a strict and proper upbringing, encouraging them to join Alton Reform. Discovering Elizabeth Grey alone by the tavern at night, he insists he accompany her on the journey home to ensure she makes her return safely. It is her sharp tongue and fiery defiance that makes him desire her as his little Lizzie.

Without reservation, he suggests to her father that Elizabeth be sent away to Alton Reform, a school known for its strict disciplinary measures to create fine young ladies capable of obeying their husbands. Ladies that without such correction would wind up in an asylum for their tenacious and troublesome ways.

Unwed and with no prospects of marriage, Elizabeth is forced by her father to attend Alton Reform and be trained by her governess under the headmaster's guidance.

Elizabeth does not take well to Alton Reform's ways of discipline. Unpleased after a stern spanking to her bare bottom, Elizabeth runs away, only to be caught by Mr. Thomas Montgomery.

Will he force her to return to Alton Reform? Can Thomas show Elizabeth that love can be gained from discipline? How will she feel when he confesses his desire to make her his little Lizzie?

Little Lizzie's Reform features elements of age play, anal play, discipline, and graphic sex.