Fundamentalist Baptist minister Markie Wenzel decides, at age 46, to finally come out as transgender and start living as female. It is a decision that ended her 20-year marriage, cut her off from her community, and estranged her from her three children. But that decision is just the beginning of her trials. Markie misses the births of her grandchildren and starts to re-evaluate her faith. She also struggles to present herself as feminine at the height of seven-feet tall. With over a decade of vérité footage, filmmaker Matt Kiegman brings this film a Diane Arbus-like observational style that is at once intimate, tragic and hopeful. Markie's goals seem simple: she wants to be a good person and lead a devout life. But her struggles are emblematic of a larger fixation on identity--political, spiritual and personal--and she's surrounded by a community that is deeply invested in gender expectations. When your loved ones won't accept you as you are, how can you accept yourself?