The Disgusting (The Disgusting #1)

When beauty becomes a duty, being yourself is the bravest thing to do.
In a future world, every teenager at sixteen undergoes surgery to become beautiful. Tully Youngblood dreams of it, but meeting a girl who wants to escape the system changes her plans. Now Tully will have to choose between the desired perfection and the terrible truth hidden behind the beautiful illusion.

The book "Disgusting" is a Young Adult novel with which Australian-American author Scott Westerfeld invites to a dystopian future, where after a global catastrophe people live in isolated city-states, and beauty standards govern the order of the new world.
Tully Youngblood will soon celebrate her sixteenth birthday, after which the girl will undergo mandatory plastic surgery - and she will get into a "high-tech paradise." When a new acquaintance, Shay, uncovers the secret of a cruel system, the dream becomes a fatal burden of moral choice...