"From what I can tell, 'cured' means being a jealous, self-important, whiny little ugly-brain. It means thinking you've got all the answers." (48.45)
What do you think Shay should do at the end of the book? Should she take the pill, knowing that she'll turn back into a whiny, unhappy person? (After all, that's kind of her identity before the surgery.) Or should she stay happy—and not herself?