Queens at Heart offers a rare and poignant glimpse into pre-Stonewall queer life, where the participants talk about their experience of being transgender and the relationships between gender, sexuality and identity. The film raises the poignant spectres of loneliness and suicide in the LGBTQIA+ community, though the interviewer's tone reveals a palpable condescension and distrust. It remains a valuable archival document of a community that, at the time, existed very much on the margins.