Oklahoma-born Lucas is a study in caution and deliberation. A neuroscience major who was born Leah in 1983, Lucas traces his recognition of his male identity to his early days at Smith College, which is the nation's oldest operating women's university. For three years, Lucas has refrained from medical adjustments, but now, in his senior year, he is increasingly distressed that his body does not match his mind. His roommate and best friend, Kasey, has been undergoing hormone therapy for several months, and plans to undergo top surgery later in the year. Though Lucas doesn't deny his feelings of jealousy, he is also conflicted about hormone therapy. He worries about the potential health risks and about the possible impact on his career prospects. Most of all, he is worried about the impact on his family. Lucas' parents divorced when he was nine, and though his mother and younger brother are supportive, he is anxious about his father's reaction. Ultimately, Lucas realizes he can't wait any longer: now is the time for him to begin a new step of transition.