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Does gender really matter?
For Kel and Toni, life is precarious. Kel turns tricks for cash and works hard to stay clean, while Toni seeks absolution in a bottle of Mexican hormone pills. Their love is raw and obsessive, but as Toni struggles with anxiety and gender identity, Kel fears the reality of Toni pursuing male-to-female transition, and questions his motives for doing it.
While Kel grapples with his worries and the attentions of regular client Michael—otherwise known as the Sherbet Pervert—Toni faces different problems. Her best friend, Danielle, a transgender woman, thinks Kel is a bad influence and pushes Toni to leave him. Toni holds off, aware that deep down, she's not like Danielle, however much she wishes she could be. Hell, sometimes Toni can't even get comfortable with one set of pronouns.
Things are already complicated, but one terrible day forces Toni and Kel to confront some frightening possibilities when they're shown just how easily their harsh little world could crumble.