Pros - Well written short stories; interesting characters and unusual ideas mixed with sharp writing. - Horrifying subject matter fulfills the book's promise to disgust and scare. - Experimental novel structure feels ground breaking and reflects the theme well
Cons - Overarching story line is less interesting than the short stories - All stories are written in the same narrative voice despite being told by different people - V.Badly researched in areas; the story 'Dog Years' which deals with a boy with Progeria in particular. Child sufferers of progeria are not indistinguishable from 90 year olds as implied; they actually appear like elderly children with enlarged eye sockets and foreheads. Sufferers of progeria also have acute arthritis/ muscle degeneration and never enter puberty or develop sex hormones and so would be unable to perform sexually in the manner described by Palahniuk also.