This book is an extremely fast read - I finished it on the bus home, which takes about an hour. However, if you choose to follow my example and read this title in public, you should be forewarned that the illustrations are (at times) graphic. If you're squeamish about other persons looking over your should at things that border on the explicit, you may want to consider reading this in private. The story line is an interesting internal dialog that run along in a kind of stream of consciousness fashion. It follows a young woman from youth to (very early) adulthood. Some of the events are violent and disturbing, but the theme (in my opinion) is one of acceptance - acceptance for an individual being whatever they feel most naturally being. Of course, along with this comes the actions those who do not accept are willing to take to try and change an individual. Bottom line? It's intense. You'll finish it fast, and think think about it for a long, slow, time.