Rosie and Penn fell in love, got married, and had kids. After 3 boys they decided to try one last time for a girl. Then Claude was born. Creative, smart, and by 5 years old obsessed with becoming a princess. ER Doctor mom and Author Penn go to great lengths to keep this a family secret. While they tried everything to support their child, the complexities of what this truly is and the choices that must be made are overwhelming. And secrets are difficult to keep. When this is reveled the confusion grows for everyone. The truth of this is stark. No matter what is done there are two sides to each choice. While there are a few things missing, like the mom not knowing what additional resources to use to help, it faces a difficult topic with compassion. The fact that there is no one answer is the point of the story.