It is gender neutral but they also had blue and pink ones for people who know the gender of the baby. Its quality is really nice and I am looking forward to putting in the correct pages. In addition to the 2 mom pack we also ordered some of the other page packs. You can see the pages at http://www.tesserapublishing.com/uploads/70-407%20Two%20Moms%20or%20Two%20Dads_SAMPLE.pdf and http://www.tesserapublishing.com/uploads/Baby%20Book_SAMPLE%2002.08.pdf
This is one of the few baby things we have purchased so far. I would totally recommend this to other same sex families. We ordered from babysakes.com. Now all I need to do is make sure I fill it out!