But all was not as it seemed. Initially proclaimed a resounding success, the devastating psychological cost of the procedure has only recently become known. Now living as an adult male, married and with a family of his own, this patient has granted John Colapinto unprecedented access to his story. As Nature Made Him is at once a fascinating exploration of the elusive nature of sexual identity and an examination of the ever-intensifying struggle between what medical science can do and what doctors should do. It is also a story of courage and survival that sheds light on the murkiest areas human sexuality.