Up and Down on the Downtown Eastside is a fast-paced but harsh story involving drug addicts and other low income residents in the ghetto that is Vancouver's drug-ravaged Downtown Eastside. Fans of Irvine Welsh and Hunter S Thompson will appreciate the non-stop black humour that prevents the book from being dragged down by the bleakness and intensity of the subject matter. Although highly entertaining, this novel, like all of Walter's work, is not for the easily offended or weak of heart.