Embracing a facade of perfection after her transformative surgery, Tally Youngblood finds her Pretty existence marred by a sense of disquiet. Her flawless beauty, captivating wardrobe, and desirable boyfriend embody societal ideals, yet the perpetual festivities and luxury leave her unsettled. When echoes of her Ugly past infiltrate her perfect world, Tally is confronted by the sinister truth underpinning the Pretty lifestyle. With the authorities maintaining a tight grip on this dark secret, Tally faces a treacherous decision: to conform and surrender to oblivion or to rebel and risk everything in a desperate bid for freedom.