As a twelve-year-old boy, Nicola de Leo already knew she wanted to become a woman. Today, the now forty-year-old transsexual lives in Venice and has changed her name to Nicole. She has undergone a hormone treatment and grown breasts, but she still lives inside the body of a middle-aged man, including a penis, a beard and a substantial Adam’s apple. This is why Nicole is applying for a sex change through official channels. ‘I never thought it would be so hard. I thought making the decision was enough,’ she says. During five tense years, Nicole fights her emotional and physical struggle in the presence of director Alberto Vendemmiati’s camera. Working as an actress, a seller of carnival masks and a prostitute, she finances her cosmetic treatments and looks forward to the subsidised sex change operation. Meanwhile, she turns to her elderly mother for support, who has a hard time accepting that her son will soon be a daughter.