Everyone knows the Wyatt twins as Samantha and George, but only the two of them know each other for who they really are: Sam and Rose.
The twins know that their genders are flipped. Backwards. Wrong. Somehow they were messed up in the womb, and they've always known that. But knowing that there's no way their small town would understand, they've always kept it to themselves.
However, as they start to go through puberty and their dysphoria worsens it becomes harder to keep the secret. When one of the twins just can't take it anymore, will they both be able to survive the consequences?