I won't go into the finer details of the story, except to mention it is filled with conflict, from kids at school who call Elizabeth "that dyke, his conflict over his best friend, his parents refusal to believe this is anything but a stage Elizabeth is going through, and his romantic interest in a particular girl from school, as well as a public and painful "outing."
This is one of those books you will either like or hate. If you have seen bullying in any of ,its many forms then you might like this. If you believe opting to live as a different sex than you were born with is a choice, then this book is most likely not for you. If your mind is open to the concept that anomalies happen, well then give it a try and let me know what you think of