What It Means to Be a Man begins with a discussion of machismo set in the context of the social construction of masculinity. Ramírez presents his interpretation of what it means to be a Puerto Rican man, discussing the attributes and demands of masculinity, and pointing out the ways in which strength, competition, and sexuality are joined with power and pleasure. He examines the erotic relationships between men as part of the expressions of masculinity, and analyzes how the homosexual experience reproduces the dominant masculine ideology.