Adela, a 43-year-old spinster who lives alone in an isolated northern provincial Spanish village, spends her days sewing and doing charity work. Never feeling particularly attracted to men, she is waited upon in her home by her faithful maid, Isabel (whom she affectionately calls Isabelita), who adores her.
One day, the local bank manager starts to court Adela and sets his sights on marriage. Repulsed by his physical overtures, Adela consults the local priest and confesses that, while she has never been physical with a woman, she feels "embarrassed" around them. On his advice, she resolves to consult a doctor. After a row, Adela fires Isabel. Upon seeing her doctor, Adela is informed that she is not a woman after all but a man. The former Adela moves to Madrid and takes on a new masculine identity, "Juan".
After trying to obtain income with no identity card, Juan runs into Isabel, working as a waitress in a local coffee shop. Soon, Juan begins using his sewing skills (the only skill he has) to bring in a small income and enable him to obtain a work permit. Eventually, he falls in love with Isabel, who reciprocates his feelings. However, out of fear, he resists consummating their relationship. Finally, they successfully make love; afterwards, he says that one day he will tell her something "very important." Isabelita surprises him by responding, "There is no need, señorita," showing that she already knew his secret.