Born as biologically female, Nathan spends his formative years facing questions without answers, social ostracism from his peers, and incomprehension from his family-because from as early as he can remember, he knows he has been born in the wrong body. But, as his family comes to recognize, a physical identity is harder to change than a piece of clothing or a haircut. So from the moment he is at last supplied with a professional term for his self-diagnosis-"gender dysphoria"-he is able to leave behind his complicated psychological history, the challenges of his self-harming, and his struggles with sexual identity, and begin the difficult process of claiming his true self.