Skinny was a hard book to read. It touched the delicate subject of eating disorders. Ever wasn't anorexic or bulimic, but she had a voice in her head telling her how she wasn't worthy of anything is she wasn't skinny, making Ever obsessed with loosing weight - the voice's name is Skinny. That alone can be considered an eating disorder, because you are hurting yourself - mentally. I really loved that this book showed that part; I've read a few books were they deal with eating disorders and they never really show that side, that little voice inside your head that brings you down. 
 We all have a Skinny inside our heads. Maybe not telling us we need to loose weight, but just a negative voice inside. Ever's voice grew way too loud, to the point where it controls her and rules her live. After the surgery, Ever starts loosing weight, but along with the weight, Ever begins to realize all of the other things she's lost because of Skinny's voice. How she pushed people away, how she became a social outcast, and how she lost many opportunities - all by herself. 
 Even though it was difficult watching Ever struggling and realizing all of this, it was also a really beautiful book, because Ever does confront Skinny - Eventually. She fixes her broken relationships, finds her courage again and stops listening to Skinny - because she is still there, but Ever refuses to acknowledge her again. 
 Apart from the emotional stuff, the physical things she had to go through because of the surgery are awful. I had heard of that surgery but never really thought recovery was so hard and that your lifestyle changed so much. Lucky for Ever, Rat is there for her the whole time as a great support. Even if they do go through some conflicts, they get over them. 
 I'd recommend Skinny to anyone, it was a really great book. A fantastic debut.