This novel shows how being different from what is considered mainstream has a negative impact on a person's life, both as external ridicule and internal shame. Have you felt "different" in your life? How did other people react to it or was this feeling of difference internal? Do you believe that everyone feels different at some point in their lives?

After reading this novel, do you have a different opinion on transgendered people? Why do some people find the transgendered frightening? Do you think that life is easier for transgendered people today?

Jess and her gay friends create a close-knit community. Are communities of friends a sufficient substitute for family? What are the advantages of being part of such a community? The disadvantages? Do you wish you were in a community that close?

Was Jess's decision to take male hormones an act of courage...