I think it’s a really interesting manga if you’re tired of a typical story. I liked the character work and there’s even some trans representation in it. It gets a little drawn out and repetitive towards the middle end but I think overall it was good and the ending was satisfying. For warnings I would include - Rape, Self Harm, Body Horror, and I cant think of anything else off the top of my head.
Honestly I do think Itou is good representation for trans women especially in a Japanese piece of media from the 2000s. I can’t say I would recommend this manga to everyone though, it’s really weird and some parts are gross and messed up.