The author offers a candid first-person account of living as an androgynous person, tracing personal experiences of gender variance, social stigma, and legal and medical responses. Interweaving autobiographical narrative with reflective essays, the text distinguishes congenital from acquired forms of same-sex attraction, critiques punitive laws and moral hypocrisy, and urges humane, informed treatment. Supplemental materials include contemporaneous impressions, a discussion of a prominent medico-legal case, and a questionnaire on homosexuality, all intended to prompt professional study and reform. The tone balances confession, analysis, and appeal to physicians, lawyers, and social scientists to better understand and alleviate the hardships faced by sexual minorities.