On Alex’s last visit to his parents, his parents drugged him, and have their preacher put in a black market implant to force Alex to remain static in the male form.
The book opens with Damon going to check on Alex. Damon and Alex have been in a two year relationship. He knows Alex was visiting her parents, and is aware that a single visit to her parents can leave her depressed for days if not weeks. Damon is surprised and jealous when a male answers her door.
"Damon, I'm a shifter."
My heart stopped. "What?"
He swallowed, "I'm a shifter. This" - he gestured at himself with the hand that wasn't shielding his eyes - "is my male form."
Alex is then faced with sharing everything with Damon about who he is, and why he is now stuck in this form. We get to see Alex going about his life in a male form to places where he was traditionally female such as work and the discrimination he faces.
We see Alex press charges against his parents and go through a trial where he, as the victim, is also on trial. We see Alex have to make hard choices about surgery possibilities that might in his words " Leaving it in could kill me, taking it out could kill me, and living with it for the rest of my life will make me wish I was dead.”