These are what we call the 'YMMV items.' Things that some people find in this work. We call them 'your mileage might vary' because not everyone sees these things in the same way. This starts discussions in the trope lists, a thing we don't want. Please use the discussion page if you'd like to discuss any of these items.
Big Lipped Alligator Moment: As part of the Magical Realism of the novel we have Barrabas, the dog who won't stop growing. While he never gets to Clifford the Big Red Dog levels, the reader is treated to an...interesting subversion of Bigger Is Better in Bed which has absolutely nothing to do with the story and is never mentioned again.
Evil Counterpart: Esteban Garcìa may also be this to his grandpa Esteban Trueba.
Moral Event Horizon: Esteban García repeatedly rapes Alba. Not only rapes her, but does so while mocking her for being a Trueba.
Pragmatic Adaptation: The movie faithfully presents the main storyline, personalities and motivations, but compresses a lot of the plot and removes about half of the characters. Events on the book fold for about 50 years, but the movie storyline last 30 at most. The most noticeable changes are that Nicolás and Jaime are removed, and the plots of Blanca and Alba are compressed on the former. Alba still appears, but only as a small girl instead of her young adult incarnation.
Squick: Quite a bit of it, but almost nothing can top the description of Esteban's mother Ester's putrified legs when Esteban returns to her. It's so horrible that it's Esteban, normally a super stoic and macho Jerk Ass, pretty much collapses in Berserker Tears when he leaves the room, launching into an angry and frustrated rant about how he's powerless to do anything for his mother's sake even after ten years of working himself sick to finally pull the Truebas out of poverty.
Nearly all of the graphic sex scenes. Mostly due to the fact that almost all of them are nonconsensual.
Jean de Satigny is an extremely sterotypical character, fufilling the 'effeminate, sissy Frenchman' stereotype and the drug using, Camp Gay who spends far too much money on extravagant things and shoots kinky gay pornography in the basement. Most of people would probably consider this sterotypical to the point of being EXTREMELY homophobic, but it's played completely straight.
What The Hell Casting Agency?: White actors Meryl Streep, Jeremy Irons, Glenn Close and Winona Ryder as the main roles of Clara, Esteban, Ferula and Blanca. They were surrounded by almost all Latin-American people in the background. Granted, they are meant to be rich high class people, whom in Latin-America tend to be much whiter than the rest of the population, but still.