‘This might win the award for least relatable observational material ever,’ claims Sarah Keyworth at one point during a discussion of the top surgery they’ve undergone (just how exactly do surgeons move nipples?) They’re not wrong; relatively few people in the crowd will have undergone a double mastectomy to assuage their gender dysphoria, and that’s what makes the latest step in their journey towards self-acceptance so bracing.

Keyworth has long developed a style that can take the particulars of their life and make them universally relatable (or at least insightful) with a gentle humour about eccentric relatives, hen dos (or ‘them dos’, as Keyworth wittily redubs them) and loveable asides about their brother. The meat of the hour lies in details about top surgery: why someone might want it, the process itself and the response of their family and friends. This is an insider’s perspective on the lived experience of gender fluidity, ushering audiences in with eloquent one-liners and observations. More than the killer gags (of which there are many) and the desire to share a still-rare experience, Keyworth has written an hour about acceptance, both from the people you expect it from and, more touchingly, the very people you don’t.

Sarah Keyworth: My Eyes Are Up Here, Monkey Barrel, until 25 August, 1.25pm; main picture: Matt Crockett.