A personal account by a college student who endured years of bullying and disapprobation describes how after numerous failed therapies she accepted her transgender status and began learning how to be a girl while pursuing surgical gender reassignment. Nineteen-year-old Katie Hill, a transgender girl, shares her personal journey of growing up as a boy and then undergoing gender reassignment during her teens. The plot contains pervasive profanity, sexual situations, and drug and alcohol use.