And I was okay with that, because I wanted you.
On whatever terms, I wanted you.
Okay, but now?
The minute you said you were pregnant, I saw her.
I'm holding her in my arms.
She's got your smile, your eyes.
She's got my great hair.
She yelled at me for making smacky sounds.
If you tell me you named her...
Your patient's in trouble.
We used your new 3D breast tomography--
Great images, by the way.
She's got a suspicious lesion on the other breast
that the digital mammogram missed.
I biopsied both sides,
and they both came back with invasive ductal carcinoma.
Her genetic testing shows she has a BRCA gene mutation.
She's genetically male,
and the BRCA 1 and 2 gene in men
increases the risk of breast cancer.
I'm gonna recommend a bilateral mastectomy.
Yeah, of course.
Because of the aggressive nature of the disease
and the tumor size.
I'll talk to her.
You want me to do it?
She's my patient, thank you.
Alex, do it now.
You want to cut off my breasts
and leave scars across my chest?
There are reconstructive surgeries and implants, Ava.
Will the hormones that I take allow me to grow my natural breasts back?
-那些荷尔蒙 你必须停了 -什么
- I mean, the hormones, you have to stop taking them. - What?
Hormones can accelerate the growth of cancers in the body.
Hormones don't cause cancer.
No. Emphatically, no.
But what we found,
it could've already existed before you began the transition.
Continued use could accelerate growth of cancer.
Nothing is worth that.
I'm sorry, Ava.
We'll manage a gradual withdrawal,
but you need to stop using hormones.
You're telling me to give up my identity as a woman.
I'm telling you we can fight this and win.
Without my hormones, I don't have my soft skin,
I don't have my roundness, I will not be a woman anymore.
You need to do this.
- Okay. - So?
There are a lot of possibilities.
Is that a clown car?
- Spaceship. - Spaceship.
I don't know, what would you choose?
Come on, you're a tattoo artist.
I want your professional opinion.
This is why amateurs should not get ink
without using their mind or their spirit.
Whoa, this took a turn, all right.
Body art is the most - personal statement you can make.
You're writing on your flesh
to tell the world something indelible about yourself.
You don't ask another person what that should be.
This Maori tattoo,
a boy from New Zealand.
These bougainvilleas, a cousin I lost too soon.
This stupid goldfish, summer theater camp.
I regret nothing, especially my mistakes.
Your bowler hat?
Something touched you so deeply that you wanted a record of it,
so you wrote it on your body.
Not in glitter, but in ink.
Now you want to change that?
Let's find the thing that you want more,
and we'll write that on your body.
You know, not a lot of therapists
would let me have a session while shooting hoops.
it was the best way for my stepson to talk to me, too.
I didn't know you had a son.
Trevon was from my ex-wife's first marriage.
After we split, she wouldn't let me see him.
The woman has no problem cleaning out my pockets
to pay for his private school.
Sorry, I had no idea.
He's a good kid, so I deal.
Well, before your marriage,
how important was being a father to you?
Hmm, I couldn't imagine it before it happened.
Now I can't imagine my life any other way.
Am I missing something?
Am I gonna regret not having kids?
That's the question I should ask you.
Do me a favor and don't.
Any chance of Alex changing her mind?
What are the chances of you changing yours?
Max, you got my message.
Thanks for coming. I need all the help I can get
convincing Ava to have the surgery.
Oh, uh, when was the last time you talked to her?
What's going on?
There's not going to be any surgery.
- Ava... - I get it.
I'm gonna die young and it's not gonna be pretty.
But I'm gonna die the woman I was born to be.
Will you talk to her?
- You think I haven't tried? - I don't understand.
If your offer to take me home still stands,
I'd like to go.
You know, for the first time, I don't believe you're a woman.
What does being a woman mean to you?
You have no idea how entitled you are.
好吧 也许 但是我的性别
Okay, maybe. But owning my gender identity
has nothing to do with hair or makeup or clothes.
Did you just compare trans to drag?
All I'm saying is real women fight.
Real women endure hardship to live another day.
You want to own your identity as a woman?
Stay with me and fight.
I don't care what you do or you don't understand.
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