In an HBO interview, Anderson was asked "Were you drawing on any sources when you were researching this? Or was it purely out of your imagination?", to which she replied "Oh, it's my imagination, it's all fiction." She also said that she wanted to use the play "as a metaphor for a study of marriage", calling transition the "ultimate betrayal".[2]
Plot
Roy Applewood (Tom Wilkinson), after fainting on the night of his 25th marriage anniversary, shocks his wife Irma (Jessica Lange) by revealing plans to transition into a woman named Ruth. While Ruth tries to keep the family together, Irma's initial reaction is to separate from her. Patty Ann (Hayden Panettiere), their daughter, is more accepting, but Wayne (Joseph Sikora), their son, struggles with the transition. He mocks Ruth after receiving an explanation letter.
The movie follows the fictitious story of the character Ruth in the depiction of her transition. She buys women's clothes, wears earrings and puts on perfume. She finds graffiti on her truck "You are not normal". Her mother decides not to tell her father. She is kicked out of the church choir. Irma finds Ruth in the barn with a gun to her head. She invites her back home. Her teen daughter just got her period and doesn't like being a girl. Their son Wayne comes home for Thanksgiving and ends up in a fist fight with Ruth. The son yells obscenities at her and then cries in her arms. After a year passes she goes in for surgery with full support from Irma.
Ruth faces ostracism at church and at work. She finds understanding from her boss, Frank, but not from her minister. In the end, Irma discovers that love transcends gender and the family survives.
Robert Pardi of TV Guide, reviewed the film and stated "Writer-director Jane Anderson tries to shoehorn her own play into the TV-tragedy", "but it's an awkward fit" and "Although the performances are superb, the film's detachment doesn't suit the bizarre material".[3]
On Rotten Tomatoes the film has an approval rating of 100% based on 7 reviews, and an average rating of 7.2/10.[4]