A good work, the best Canadian novel I've read so far. It has a dreamlike quality that ends up working very well with the dystopian tale and which is in contrast to the hyperrealism of most dystopia's. As with all great dystopia's it is very much an artifact of its time, but it has a good insight into the way in which people actually deal with tyranny in practice. Probably the best dystopia after 1984.
The sex scene is very clever. My major beef with it is that I get the impression that Margaret Atwood has not personally known extremes of suffering and she comes to psychological trauma as if it were a foreign country and she is an acute observer, but that is maybe just my personal taste.