The book centers on a 13-year-old girl named Judi Liebowitz, who develops bulimia to try to lose weight.

Judi Liebowitz wants to lose weight, be the thinnest girl in eighth grade, and have a boyfriend.

She is convinced that if only she had "creamy thighs and amazing cheekbones that look like I'm always sipping through a straw", her best friend Monica would not have stolen the boy she had a crush on.

When Judi meets slim, beautiful glamorous Nancy Pratt, she thinks her life will turn around and she will be gorgeous.

Publishers Weekly gave it a starred review, largely due to the reviewer's evaluating that "Judi's convincing voice and true-to-life experiences add up to a compelling, thought-provoking narrative...This book should be required reading for adolescent girls.