This was...weird. I'm between a 3 and 4 here. There were three separate story lines and I'm not sure that really any came to a meaningful or satisfactory ending. That said, the characters themselves were beautiful and their stories engaging. I appreciated the craft with which the author portrayed anxiety, but/and I would love to hear a trans person's take on how that experience was portrayed. It felt like sometimes the author was making assumptions about experience or playing a bit too hard on certain points or aspects, such as dysphoria and abuse, but not as much on moments of gender euphoria or uplift.
Anyway, a fine book—certainly a unique one—but not one I'd recommend to many people.