This book is primarily about Tom and Ming and their relationship. Tom's coming out. His first gay relationship with Ming. Ming's feelings of not quite being in the right body. The transition. The aftermath.
It's a gritty read, getting down to the rawness of love in all it's forms. Like a microscopic view of individual strands of relationships.
Love, loss, grief, hope runs with fluidity throughout the book. I've laughed and I've cried (alot).