Through her self-proclaimed identity as a pathological liar, the protagonist demonstrates how creating one's own narrative can be both a survival mechanism and a form of empowerment. Her 'confabulous' storytelling reveals how trans individuals often must write their own stories in a world that tries to write them out of existence.

The Street of Miracles serves as more than just a setting; it becomes a symbol of how marginalized communities create their own safe havens. The fierce femmes who take in the protagonist exemplify how chosen families can provide the acceptance, protection, and understanding that biological families sometimes fail to offer.

The formation of the vigilante gang represents more than just revenge - it embodies the necessary struggle for survival and dignity. This theme explores how marginalized communities must sometimes take radical action to protect themselves when traditional systems of justice fail them.