In Tally’s world, everyone is equal because everyone is equally pretty: at sixteen, they have their first major plastic surgery, making them the same height and shape, perfectly symmetrical with huge eyes and lips. Between puberty and their sixteenth birthday, everyone is equally ugly. The summer before she turns sixteen, Tally meets Shay and is introduced to some radical ideas: that not everyone wants to turn pretty, that it might be possible to live outside of the city, that it’s possibly to be beautiful without an operation to make you pretty. When Shay runs away, Tally is given a choice: find her and betray her, or live in the city without ever becoming pretty.Unfortunately, it takes almost a quarter of the book to get to that point, and the hundred pages of exposition is tedious and at times preachy. Once Tally sets off to find Shay and the community of runaways (like there was any chance she wouldn’t go) it picks up significantly, both in terms of plot and in terms of Tally’s emotional development. A compelling dystopia, It raises some interesting issues of human nature and judgment. It also raises issues of medical consent and ethics; I’m not sure I agree with the characters’ conclusions—safety is not the only question—but it’s good to see them raised in fiction. Tally is an interesting, believable character, but her relationships aren’t particularly well done; jealousy, friendship, and romance occur, but all three are treated with an unfortunate superficiality.It’s well written and has many entertaining touches—many realistic but divergent reactions to dehydrated spaghetti bolognaise—and ends in such a way that I will need to read the sequel.