This book A Confession of Gender: When I begin to write about ‘Him’ Is an autobiography of Small Luk. As an intersexed female, Small has experienced an extraordinary journey, from the physically and mentally difficulties throughout the whole surgical period, unceasing struggling on her gender identity and sexual identity and fighting against her inborn and after-born depression and anxiety, to her decision to be a Chinese medical practitioner and the calling from God to be an activist on human rights and equality of intersexed people. Of Small’s whole life, her gender and sexual identity is one of the most notable part. Although different with lesbian, gay and transgendered people, intersexed people are the most typical kind of people who bear both biological and psychological struggle, identification and transformation. From them we could learn about human gender and sexuality, we could understand more about our own gender and sexuality, also we could know how intersexed people can break binary, patriarchal system on the issue of gender and sexuality. The writing style of this book is quite lively rather than a heavy one, she would like to convey a message of seeking a positive living and self-value in spite of personal hardships and social ignorance and discriminations.