At 32, Quentin Koback (an alias) had lived a few lives already—in Florida, Texas, the Northwest; as a Southern girl; as a married then divorced trans man; as someone nonbinary, whose gender and fashions and styles of speech seemed to swirl and shift from one phase into the next. And throughout all this, they had carried the weight of severe PTSD and periods of suicidal thinking—the result, they assumed, of growing up in a constant state of shame about their body.