Everyone knows the Wyatt twins as Samantha and George, but only the two of them know each other for who they really are: Sam and Rose. The twins have always known that their genders are flipped, and they know how important it is to keep this fact a secret. With inattentive parents and no friends to speak of, this hasn't exactly been difficult so far. They go through life with two simple rules: stick together, and trust no one else. But their first year of high school brings unexpected challenges that threaten to tear the twins apart, and before long, keeping their identities a secret becomes the least of their worries. When an unthinkable tragedy occurs, they're both left to worry not so much about staying together, but more about staying alive.