This is an emotional book in which each member of a large family deals in his/her own way with the gender dysphoria of one of their members. It is informative and interesting as a realistic presentation of the issues and trials for an individual child and the family, with friends, neighbors and school personnel. When Penn and Rosie's fifth son, Claude, insists that he is a girl and wants to be called Poppy, they believe her and support her in the transition, BUT they don't tell non-family members that she is physically a boy. The family is a fun, dysfunctional conglomerate of intelligent loving people and just a delight to read about. The issues and problems are heartbreaking to read about. It is a book that I will remember forever and recommend to a lot of people.