Content Warning: This section of the guide includes discussion of bullying and ableism.

Dwarfism is a medical condition that results in short stature, typically defined as four feet, 10 inches or shorter. Dwarfism has many medical causes, but the most common form is achondroplasia. People with achondroplasia have specific physical traits like a large head; short arms, legs, and fingers; weak muscle tone; and a curved spine. Although the novel does not specifically mention an achondroplasia diagnosis for Georgie, his physical features, the challenges he faces, and the accommodations he requires align with those of a person with achondroplasia.

Georgie’s dwarfism affects him in many ways throughout the novel, and with the help of the unnamed narrator, the novel communicates how Georgie must adapt to a world not made for him. The narrator’s exercises include many ordinary things that are hard or impossible for Georgie, like reaching over his head to touch his left ear with his right hand or resting his head on his knees. Through these exercises, the narrator makes it clear that Georgie has physical limitations that impact his ability to do everyday activities like reaching the counter to brush his teeth, opening the refrigerator, holding a pencil, and tying his shoes.