U qor sii socodka sadarkan - Sida laga soo xigtay Tris McCall oo ka tirsan "The Star-Ledger", heesta waxay muujineysaa in "haweenka Mareykanka ah laga soo tuuro barkinta ay ku tartamayaan midba midka kale, waxaana loo tababaray inay qariyaan cilladahooda oo ay ku kalsoonaadaan wax kasta oo muujinaya wadajirka". Waxaa intaa dheer, heesaha heesta waxay ka hadlayaan cawaaqibka heerarka quruxda sare ee bulshada, iyo "Pretty Hurts" dhibaatooyinka cunista waxaa lagu muujiyey mid ka mid ah natiijooyinka la hoos geliyay. Heesta waxaa sidoo kale lagu arkaa Beyoncé oo cambaareyneysa "naxdin caag ah", iyo inta lagu jiro aayadaha ugu dambeeya waxay dalbaneysaa inay "ka saarto maaskaro". Dhaleeceeyayaasha waxay sheegeen in "Pretty Hurts" ay dhiirrigelisay dhagaystayaasheeda hamiga caannimada iyo koritaanka shaqsiyeed. Heesta heesta ayaa isbarbar dhig lagu sameeyay TLC's "Unpretty" (1999), iyo Christina Aguilera's "Beautiful" (2002). Marc Hogan oo ka tirsan "Spin" ayaa ku dooday in "Pretty Hurts" uu u ekaa hadal ay la socdaan muusig wuxuuna dareemay inay u adeegtay bayaan siyaasadeed oo loogu talagalay warshadaha qurxinta. Aragtida Hogan waxaa la wadaagay McCall oo ka tirsan "The Star-Ledger" oo qoray in haddii heesta uu sameeyay Phil Ochs sanadkii 1995, "isla markiiba loo aqoonsan lahaa inay tahay tiro mudaaharaad ah". McCall wuxuu sii waday inuu ku andacoodo in "Pretty Hurts" ay jawaab u ahayd dhaleeceynta Beyoncé ay ka heshay bandhiggeeda "The Star-Spangled Banner" intii lagu jiray caleema saarka labaad ee madaxweynaha Mareykanka Barack Obama
sanadka 2013.