The film centers on gender identity and the complexities of sex characteristics. It disrupts cisnormative assumptions by exploring a person whose gender was contested by institutional authorities.

The narrative subverts traditional hierarchies by presenting a protagonist outside the conventional binary. It highlights the restrictive nature of 1970s masculinity and femininity through systemic conflict.

The film focuses on a specific European biographical event. There is no evidence of a multi-ethnic cast, suggesting a narrative centered on a homogeneous demographic.

The story critiques 1970s Western medical and social hierarchies. It prioritizes individual subjective truth over the rigid, moralistic standards of the era's society.

The film touches on bodily autonomy and medicalized identity. The protagonist's experience with medical intervention and social alienation can be viewed through the lens of bodily difference.