It's tough to rate this book because there is almost nothing like it to compare it to. It's an anthology of personal stories that span the spectrum of what families might look like when created with queer parents and known donors. There are lesbians, dykes, gay men, bisexual & straight people represented in this book. There are people all across the gender spectrum, and people and across the spectrum of monogamy and polyamorous relationships, as well as households that are shared or communal. There are stories from biological and non-biological parents, children of known donors, donors themselves, wives and partners of donors, etc. There are also families that are not white, a rare breath of fresh air in an anthology from the lesbian community. The biggest take-home message is that there are so many ways to make a family. Love makes a family, not biology.
Since this is an anthology, I have an immediate desire to hate it & recommend that many of the pieces either be scrapped or edited much more severely -- but I feel this way about every single anthology I ever read. Overall, this is better than most anthologies, but still suffers from uneven writing ability. The book gets bonus points for the breadth of experiences. While it may not reflect the entire reality of making a family with known, donated genes, it is a good start at least.