An incredibly wild read in a way that honestly renders both the didactic content and the character drama a little hard to buy into. Though the breakneck pacing isn't the only thing to blame, it certainly stands out: several flashbacks are only some text boxes long, and the characters are forced to say a lot of expository dialogue to keep the reader up to speed with how fast the plot happens. It epitomizes things pretty well that the entire plot element of the main couple's child turning out intersex and them opting not to do surgery takes, what, 5 lines of dialogue in total?
On a deeper level, as the game is in such a hurry to move forward, the protagonist only ever comes off as a vessel for his issues. While I don't think there's any ill intent in what the game does, it feels like there's a narrative piece missing with him being a trans man who the other characters have to teach to care less about how the biology of reproduction affects his standing as a man and as a father. He's a type of person who definitely exists in the world but feels undercharacterized here – I would have liked to see both the flashbacks and the present-day story explore his relationship with gender & masculinity in more detail. It's kind of like... are we just observing a guy learn a lesson or making him a character with interiority, history, and agency? (Well, two lessons, since he's also the one getting schooled about corrective surgery on intersex babies.)
Though the art is said to be incomplete, I would rate the sketchy backgrounds as pretty nice to look at as is, and the limited color palette is a functional artistic choice. I like the sprites less: all the main character's expressions look off-model with each other, and I don't understand what's going on with his partner's sprite being like 50 % of his height.