Only Ever Yours is more of a satire/allegory of sexism, misogyny, beauty culture, and the maddeningly contradictory things we tell teenage girls and then judge for failing to do perfectly than a dystopia that could really happen. But consider it on any basis other than "is this a plausible extrapolation of the future," which it clearly isn't supposed to be, and it's horrifyingly realistic on its own terms.
In this horrendous post-apocalyptic world, frieda is a teenage girl being raised with other girls in a nightmarish school which is supposed to teach them to be perfect and beautiful so they can be given to men. It goes to every possible length to brainwash them to ensure that they won't ever rebel, let alone band together to do so, or even be kind to each other. There's no rebellion to overthrow the system, but there are some small and personal ones, in a world where choosing not to be cruel is a rebellion in itself.
The lack of capital letters on the girls' names (boys get them) is probably the least of the relentless detailing of how this society (our society, exaggerated) crushes girls and women, and prods and pushes them to crush themselves and each other. They must maintain a designated weight, but eat in a cafeteria where the Fatgirl Buffet always waits as a public temptation. Audio tapes play all night telling them they're worthless if they're not thin and perfect. They have regular sessions where they're told to critique each others' bodies. Even the flowers (as artificial as everything in this setting) have mirrors in their centers.
In the middle of all this horror is frieda, desperately grasping for love and acceptance, isabel, destroying herself for reasons frieda doesn't understand, and megan, who understands the rules and plays by them as hard as she can. All three of them are heartbreakingly human in a system designed to strip them of humanity.
Here are two excellent short fanfics, both distinctly more cheerful than the novel.
I'm the New Blue-Blood, by
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We All Have Our Favorites, by
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Only Ever Yours