Born to a single mother in Dust Bowl-era Nebraska, Roy Manger learns to deny his true self from an early age. The rural Midwest is no place for a boy who wears girls’ clothes for fun—let alone for one who suffers gruesome hallucinations. It is only when he leaves home that he can embrace his true identity, spending his days as Roy and his nights as Raina, working as an escort in a ritzy Chicago bordello. But after a run-in with the law, Roy is torn between extremes: to live as a man or as a woman; to ignore his grief or struggle to accept it; to suppress his visions or seek to understand them. With the support of Woodrow, a convict with a murky past, Roy will have to come to terms with the fact that, in life, all of the greatest joys must come from within—and the greatest dangers, too.

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