This book was obnoxious, and I DNF'd it about a third of the way through it, because the main character, Logan, was totally ridiculous. If I'd known that Kirkus Reviews liked it, I would have avoided it like the plague. I don't think Kirkus ever met a book it didn't adore, so those reviews are utterly meaningless. If I'd known it had won an award, I would likewise have shunned it. Books which win medals and awards rarely meet my approval. They're far too pretentious and "literary" for my taste. This one wasn't really either, but it was still a disaster, well worthy of some literary medal or award. I'm unlikely to ever be offered one, but I promise you if I ever am, I shall flatly refuse it.
If this novel had been published thirty years ago, then some of it might have made a little sense (but still have been unforgivable), but to publish in 2009 and take the trope route main character Logan Witherspoon "just didn't know" is farcical. Any author who does this these days is clueless. The term 'gender dysphoria' was coined in the early seventies and while it took it's time entering the lexicon, other terms applicable to this situation were in wide use. Even people living in podunk towns know something of the LGBTQIA community, so Logan's extreme ignorance was a joke, and not even a funny one.
At any time there are always plenty of jerks and dicks who aren't fit to be anywhere near, let alone in the company of, the LGBTQIA community, but allowing this, Logan's complete ignorance about the topic simply wasn't believable. His 'extreme prejudice' reaction when he learned how Sage came to be the person she is was just plain stupid. It's not possible for the character we had been introduced to at the beginning of the novel to have become that extreme so precipitately by a third the way in, and even if we swallow his ejaculations for what they were, then it's simply not possible to believe that he could ever have erected himself from the sad depths in which he'd so comfortably wallowed. Logan was a dick, and that's all there is to him.
He was also a manic depressive going from high to low at a speed too fast to measure accurately with the technology we have today. Everything was extremes for him, and his behavior was entirely ridiculous and quite literally not credible. The way he behaved towards Sage was obnoxious, and his constant 'I' this and 'me' that made him seem even more self-obsessed and inflated than he would have been in third person. It was depressing to listen to his constant juvenile whining in an audiobook read by Kirby Heyborne, whose voice was way too John Green for my taste, which made the novel even worse.
Sage Hendricks wasn't much better, frankly. It's perfectly understandable that she'd be nervous at best and terrified at worst of her secret getting out, and to her credit she does try to steer Logan away from it, but at the same time, instead of adhering to their agreement to be friends, she proves something of a tease, and definitely leads him on. In some ways I can understand her behavior, but in other ways, it was inexcusable.
On the one hand, you have to allow that it's her business and no one else's, and if he truly cares for her he should accept her for whoever she is, but on the other, we don't yet live in a society where a mtf transgendered person is the equivalent of a biological female. Apart from the issue of pure acceptance (by society as well as by any given individual), there's also the issue of why people form relationships, and one reason is to have children. Clearly (until our medical profession advances dramatically), it's problematical to enter into a relationship with a guy when he doesn't have all the facts at his disposal. there are biological females who cannot have children either, so this situation is no different. If a couple are getting serious, then it's important to be completely honest with each other about what can be expected.
That said, this was another high school story and I cannot take high-school romance stories seriously for the most part. Or any YA romance for that matter. Very few of them are remotely realistic and most are so badly-written as to be a sorry joke. While there are some people in that age range who are commendably mature and who can realistically enter into a serious relationship with a reasonable expectation of it working out in the long term, most people the age of Sage are not sage and those like Logan are hollow at best and clueless at worst.
The rather tired premise for this story is really ripped off from Romeo and Juliet. Logan is pining over his lost love Rosaline, er Brenda (Brenda, really?), but then is suddenly overcome by his lust for new girls Sage. Admittedly, she plays a lot harder to get than does Juliet, whose morals I've always suspected, quite frankly. In this case, he's the Capulet and she's the mountebank. When she finally comes clean and reveals that she started out life with a Y chromosome in place of the other X, his reaction is laughable. The fact that he does take off like this, thinking the most horrid things about her, almost punching her, and using the most unforgivable names about her made me only realize that even if he were to come around later to her point of view, it would be such a pile of fiction that it wouldn't be worth the reading. That's when I gave up on this worthless piece of pretentious (I changed my mind!) trash of a book. And what's with the frigging title? Almost Perfect? Not by a long chromosome. And what's the betting that the cover model isn't remotely transgender?