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Coming out to Mom is a lesbian rite of passage. In the third edition of this landmark anthology, 34 remarkable women face their fears and confusion, prejudice and misunderstandings, and speak honestly and bravely about the difficulties and joys of life with their "different daughters". Among the topics of discussion are family, community, religion, grandchildren, bisexuality, transgenderism, and coming out.

Ranging in age from six to 40, 38 sons and daughters of lesbians offer brief essays that could be valuable to like offspring, as well as to relatives and friends trying to understand the problems such children face. Homophobia, visited upon the children as well as their mothers, is the most commonly cited concern; some younger contributors feel isolated from their peers, and a couple of boys endure rejection from radical lesbian acquaintances.