In this sequel to Born That Way, Sylvia, fourteen, is now taking medication for Turner's Syndrome, the genetic disorder with the missing X chromosome. Without treatment, Sylvia will remain short, undeveloped and infertile, and the object of ongoing teasing at school. Unfortunately Sylvia experiences serious side-effects to her medication and grapples with what it means to become "normal". If the hornless unicorn she dreams about is still very much a unicorn, then is Sylvia still a young woman when she has no ovaries?