A Filipina transplanted to NYC, Karen is a transgender woman battling daily with psychologically tumultuous, painful and debilitating gender dysphoria. Her only solution is to save enough money to pay for sex reassignment surgery. But when her beloved mother reveals that she needs life-saving surgery of her own, Karena;s existence is thrown into further turmoil. If she pays for her mother’s procedure, Karen will spend every cent that she has saved. Out of options, Karen is forced to make a fateful and dangerous decision in the hope that she can both fulfill her dream of womanhood and save her mother’s life.