Miss Gaga doesn't actually appear in the movie but her gendered antics definitely have some relevance to the movie's themes as she constantly explores the extremes of being a "sexual woman". Also, the music that Nati listens to while she is conversing with Anna is inspired by the track "Dirty Rich" from Lady Gaga's first album.
Though some dialog, visual and plot elements are directly referencing the novel, the characters and plot are original.
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