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Liza of Lambeth focuses on the challenges of life facing Liza, an 18 year old factory girl who lives in the poverty of the slums of 1890s London. The main plot is driven by Liza's affections and the consequences these have for her. Based on W Somerset Maugham's experiences as a visiting trainee Doctor at the time, the book is an insight into working class life at the time and was his debut, the success of which led to him pursuing his vocation not as a Doctor, but instead a novelist.