Consequently, uglies grow up with severely damaged self-esteem, unable to see their bodies in a positive light. Those who do not undergo the surgery have no shot at living a successful and happy life, because society will ostracize them. Those who have undergone the operation are pretties, those who have not are uglies. Initially, beauty is presented as a fixed quality in the world of Uglies, referring solely to physical appearance. While she wants desperately to fit in, Tally is not willing to sacrifice her individuality and her critical thinking skills. However, when Tally learns of the brain lesions that result from the operation, her feelings change. Her horror at the thought of staying ugly and becoming a social pariah is what drives Tally to work for Special Circumstances in the first place. Tally's pull toward conformity exists in opposition to her personal ethics, prompting the inner strife that provides much of the thematic tension in the novel. The dystopic world in which the novel is set values conformity to such a high degree that it has instituted a compulsory cosmetic operation to ensure that all people look the same and are therefore equal in the eyes of others. The pressure to conform plays a major role in Uglies.
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