The film explores themes of gender fluidity, non-normative sexuality, and identity through its protagonist, Alexia/Adrien. It portrays these elements with complexity and agency, culminating in a powerful message of unconditional acceptance and belonging from an unexpected source, affirming the worth of an 'othered' individual.

The film features a cisgender woman adopting a male identity and presentation as a survival mechanism, which becomes central to the plot. While a grieving father offers unconditional acceptance to this adopted identity, the narrative primarily uses gender fluidity as a plot device for themes of body horror and unconventional family, rather than exploring or affirming transsexual identity itself.