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This book is extremely easy to read, as the vocabulary isn't very challenging. There's medical-specific terms here and there, but often they're explained. The possibly confusing part is that this story has so many twists and turns every second. The Surgeon is good at being deceptive and doesn't shy away from being a wildcard. It could potentially be confusing if you have trouble keeping track of several plot points and elements at once, but to me it's manageable.

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In chapter 21, there's a part where Kade and his sister Kelly reunite with and speak to their mother who is now an isolated brain that can communicate through a hologram. It was a sad moment as they had always thought their parents died in a car crash, when in reality the surgeon made them fake their deaths for her own gain and she performed surgeries on both of them. Kade and Kelly had to grow up without a father or mother, fending for themselves. It was a melancholy moment as they were glad she wasn't dead, but she wasn't her original self.

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In the first part of this multi-part series, four of the six Zones are revealed.

One being the Forever Garden, which is where two manic, experimental surgery obsessed twins live and create hybrids between animals and other things. This area is quite lush, but it's appearance is misleading. It reeks of rotten flesh.

Zone Two is called The Change Range. This is where most surgeries take place.

Zone Three is called The Cryogenic Center, which is huge warehouse where deceased humans are (illegally) cryogenically frozen to preserve the organs and use them in future surgeries.

Zone Four is the city of Chicago. This place was created mostly to confuse Tanya on her journey. She reached this city, thinking she was free when it really was completely controlled by the Surgeon.

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With a dark past and several deep seated issues surrounding gender identity and a controlling nature, nothing is out of the surgeon's reach. As a baby, she was born a hermaphrodite. Though she identified as male, her parents subjected her to a surgery that made her completely female at the age of 12. This was where the problems began. Obsessed with surgeries and scarred by her past, she dove into the medical world, pushing the boundaries wherever possible. This resulted in insane medical procedures such as womb and full face transplants along with conjoinment of halves of people's bodies.

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19 year old Tanya has battled with The Surgeon's insanity ever since she was a baby. Originally born a male, her "mother" forced gender reassignment surgery on her at a young age as part of a sick experiment in the medical world of gender fluidity. Tanya was kidnapped along with her parents when she was a newborn, leaving a life of royalty behind. The surgeon threatened her parents to sign her over. But, alas, the Surgeon's first loss was here: With boyfriend Kade by her side, she's evaded most of the Surgeon's tactics thus far, escaping her grasp just as she feels she's trapped them.

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Set in a dystopian future, teenage transgender girl Tanya's (Formerly known as Thomas) life has been all planned out for her. All she's known her whole life are the six zones, controlled by her mother: The Surgeon. But, her mother's control and plans for the future involve extending past the six zones. Due to a dark past, The Surgeon's always had an obsession with gender fluidity and extreme, life-changing surgeries, among other things. Having developed a god-complex, she's no stranger to toying with nature and jumping over the edge of advanced, unethical science. To her, the world and all life in it is part of a game, and she's ready to play. It's up to Tanya and her friends to stop The Surgeon's dangerous tampering with mother nature and rid her of her favorite thing to have: control.