Dena Elisabeth Eber's child Margaret announced a new name and a non-binary identity as Alex, and while she fully supports this she is learning who the new person is, learning to love who Alex is becoming, and considering her own evolution as a mother.

As a young adult with autism spectrum disorder and countless physical ailments, Alex struggles to exist in a world that seems to run counter to how they understand it. Along with the gender transition, Alex came into an awareness as an asexual adult, and the book reflects the search for all these identities. Unlike other work on the subject, it investigates not only Alex's identity but also how a mother transitions with her transgender child: both pain and joy come through as she mourns the loss of who she thought Alex would be and falls in love with the person Alex is becoming.