Many feminists are concerned about the way transgender ideology naturalizes patriarchal views of sex stereotypes, and encourages transition as a way of attempting to escape misogyny. In this brave and thoughtful book, Max Robinson goes beyond the 'before' and 'after' of the transition she underwent and takes us through the processes that led her, first, to transition in an attempt to get relief from her distress, and then to detransition, as she discovered feminist thought and community. The author makes a case for a world in which all medical interventions for the purpose of assimilation are open to criticism. This book is a far-reaching discussion of women's struggles to survive under patriarchy, which draws upon a legacy of radical and lesbian feminist ideas to arrive at conclusions. Robinson's bold discussion of both transition and detransition is meant to provoke a much-needed conversation about who benefits from transgender medicine and who has to bear the hidden cost of these interventions.