This semi-autobiographical account follows Jess Goldburg during the 60s and 70s in America. Jess comes out as a butch lesbian in the old gay drag bars with that heavy butch/femme divide* facing regular attacks from bigots and police. 

After an SA at school she drops out and goes into manual work and is involved in the unions but her gender nonconformity leads her to save up for testosterone and top surgery in the hopes that going stealth as a man in the workplace can lead to a more stable life. It also shows the racism, anti-semitism, sexual harassment and transphobia inside and outside of the community at that time as Jess navigates her own feelings and identity.
*= I knew that scene was intensely enforced, but this line struck me in particular: “The more I thought about the two of them being lovers, the more it upset me. I couldn’t stop thinking about them kissing each other. It was like two guys. Well, two gay guys would be alright. But two butches? How could they be attracted to each other? Who was the femme in bed?”