Bellwether wrote all of the issue's articles, which explore a variety of sexual activities involving trans women,[a] primarily ones who are pre-op or non-op with respect to bottom surgery.

[18] She emphasized sex acts possible with flaccid ('soft') penises,[20] associating feminizing hormone therapy–induced erectile dysfunction with pleasure rather than with a lack of sexual satisfaction.

Bellwether described the "thick web" of nerves spanning trans women's genital areas and showed ways to use them to bring pleasure[25] such as stimulating the perineum.

[26] She wrote that it was important that trans women's lovers be enthusiastic about touching their bodies, rather than avoid contact out of a fear of causing offense.

[38] Bellwether referred to "the sensitive, fleshy tube of flesh with all the nerves and blood vessels in it" as the penis for the sake of comprehension, without claiming that it is an objectively correct term.

[2] Muffing in particular has drawn attention in popular-culture sources including Playboy,[3] Broadly,[11] Autostraddle,[41] and The Daily Dot;[42] it was promoted by scholar Lucie Fielding in Jessica Stoya's sex advice column with Slate.

"[41] Katelyn Burns in Playboy, also emphasizing muffing as less prone to inducing dysphoria, says that Fucking Trans Women is "widely considered to be the first and most in-depth guide to having sex with pre- and non-op trans femme bodies"; Carla Pfeffer in the Journal of Homosexuality and Constance Augusta Zaber in Book Riot similarly characterize it as the first in that regard.

[11] Using Bellwether's preferred term for her inguinal canals, she writes that the zine "helped a generation of pre or non-op trans girls reclaim their 'cunts' and find new sexual practices that supported their gendered bodies.

Reading FTW provided perhaps my first glimpse into an understanding of trans women's bodies, like mine, not as incomplete projects or disturbing visions, but as always already carrying the capacity to be beautiful, the potential to be sexual and sexy.

[10] Kai Cheng Thom in Xtra Magazine also speaks of its impact on her transition and others', writing, "FTW leapt directly into the black hole that has historically surrounded trans women’s sexualities—and it shone like a guiding star.

Written in Bellwether's distinctively unapologetic, funny and ferociously intelligent voice, FTW addressed trans women's pleasure on our own terms", when "mainstream society would prefer us not to have sexualities at all".

[49] Bellwether did not claim to speak for all trans women, but rather portrayed a diversity of experiences[50] and sought reader submissions to fill in missing pieces.