The final reference to the hills is when the girl contemplates on her decision of getting an abortion through the following line, "it will be nice again if I say things are like white elephants, and you'll like it?" This is to provide an immediate understanding of the white elephant reference when we learn that the story's conflict revolves around an unwanted pregnancy is associated with the ubiquitous white elephant sale. These sales raise money that is worthwhile cause for people to donate unwanted objects. This is shown in Hills Like White Elephants as the to the man, the girl is a white elephant with the child.