After a 25-year marriage to Irma (Jessica Lange), Roy Applewood (Tom Wilkinson) shocks his family when he reveals that he has a gender identity disorder. The Applewood family is further thrown into turmoil when Roy decides to have a sex change operation to relieve the pain of being trapped in a man's body. Roy's co-workers are baffled, his church rejects him and his son, Wayne (Joe Sikora), struggles with the humiliation of having a father who now goes by the name Ruth.
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