This is a track from Transgender Dysphoria Blues, a concept album where the Against Me! frontwoman formerly known as Tom Gabel shares her rebirth as Laura Jane Grace. She told NME regarding the song: "I tried to write as if I was someone else on this track, about when you're starting to experiment with going out and presenting as female... But you have nowhere to f---ing go because you don't want to be seen out by friends."
The song was performed live by Against Me! For the first time at the Ogden Theatre, Denver on May 30, 2012. Grace had publicly come out as transgender earlier that month, announcing plans to transition to living as a woman.
An acoustic version of the song was released as a Double A-sided single with "F---MYLIFE666" on July 12, 2013. The artwork features Jame "Buffalo Bill" Gumb, a character from the 1991 movie The Silence of the Lambs, who was often wrongly described as transgender.
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