when dr. rex is told about her decision, he has marilyn confined to a hospital room against her will, ostensibly to psychologically examine her and cure her of her reason for refusing the procedure. marilyn suspects that despite not being legally required, the transformation is not optional, and is being maintained by the leaders of society to ensure conformity. her best friend valerie, who has already undergone the transformation, shows no emotional reaction to marilyn's protests, even when she is driven to tears. marilyn realizes that no one who has undergone the transformation can possibly sympathize with her. she attempts to escape from the hospital, but due to a post-hypnotic suggestion planted during her stay, she instead goes to the operating room to undergo the transformation.