Tally Youngblood never felt like the other Pretties - she almost didn't become one. But Tally isn't the only one who feels like she's missing a part of herself. After uncovering sinister clues about the Pretty surgery, she stumbles upon a possible cure for Pretty-mindedness and a possible escape from the city. But the cure could have deadly consequences.
Tally Youngblood is quickly approaching her 16th birthday and the mandatory pretty-making surgery that accompanies it. But Tally isn't sure if she wants to be a placidly happy Pretty. When a top secret organization threatens her with remaining Ugly forever, she reluctantly spies on the rebels who have refused the surgery. They think it changes more than just looks and are working on a cure.
Tally never wanted to be Special, but some talents cannot be denied. Specials keep the Pretties happy and naive, keep the Uglies wishing to be Pretty and - most importantly - keep the Smokies powerless.