In the book, we find out that Isaac (Nat Wolff) had "some fantastically improbable eye cancer" and now wore glasses that made his eyes, both the glass eye and the real one, "preternaturally huge." But in the movie, Isaac’s eyes both look pretty normal. We guess the filmmakers decided that the topic of cancer and losing one’s eyesight was heavy enough without making his eyes look too unusual.
Before their trip to Amsterdam, Hazel (Shailene Woodley) overhears Gus (Ansel Elgort) arguing with his parents, saying, "Because it is my life, Mom. It belongs to me," giving the reader a heads-up that all is not perfect between him and his family. In the movie, there's no indication of a rift between him and his parents.
While Shailene Woodley does resemble the Black Swan actress a little, it wouldn't really make sense to reference a real actress in the film. In the book, Gus describes Hazel as a "millennial Natalie Portman," which helps the reader get an idea of what Hazel looks like. Gus does have a V for Vendetta poster in his room; however, we don't see them watch the movie together.
We suppose the filmmakers thought showing Hazel wearing the oxygen tubes through the whole movie was enough of a reminder of how difficult it was for her to breathe and they didn't need to show her getting hooked up to the BiPAP (bilevel positive airway pressure) machine, too.
Much of the Netherlands is below sea level, but the country has figured out how to remove seawater from much of that land to make it available for farming. Beginning in the late 16th century, an elaborate drainage system of dikes, canals and pumping systems have been employed to reclaim much of the country. In the book, this served as a metaphor for Hazel’s lungs and how doctors would have to use elaborate medical equipment to drain them.
Before they leave Amsterdam, Hazel’s mom, Frannie (Laura Dern), basically instructs Gus to have a chat alone with Hazel because she knows his cancer has returned and she wants him to tell Hazel. In the movie, though, Frannie doesn't know about his relapse and it's Gus's idea to finally tell Hazel the truth.
In the book, Hazel describes the sundress she wears to dinner at Oranjee as "this blue print, flowy knee-length Forever 21 thing." The fitted, more stylish blue dress she wears in the movie is a surprise gift from her mother. Hazel's movie dress is the Halston Heritage Flare Skirt Dress, and you can buy one for yourself.
The Fault in Our Stars opens in theaters June 6.
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