This is some complicated shit. There is a TON of problematic takes in here about gender and gender affirming care, and honestly I think it's well done.
That might sound weird, but for those of us with a case of the gender it's a goddamn journey. You have been unconsciously and consciously force-fed a metric tonne of harmful radioactive horse shit about gender before you even begin you properly formulate a sense of self.
It's a SLOG to wade through all that garbage.
This manga is that slog. Whether the work is actually good or not... I'm not sure. It kind of depends on how it ends. There is a lot of room for it to go badly.
If you come here to read don't expect something fun, and don't expect something "right" (whatever that means). Expect a journey.
If it is true to life, there is a really happy ending on the horizon. Nobody is as happy as someone who has finally figured out to be fully themselves.
If it ends in tears and fire, well, given cultural oppression around gender expression, not a huge surprise.
I probably won't finish this, because it makes me so incredibly uncomfortable.
If it makes you uncomfortable to read this, you are probably doing it right.
Good luck out there kiddos.
I'll give this one an eight point it's complicated it out of ten points.