Firefox introduced a UI overhaul in 157 and for users of vertical tabs you may agree with me that it's absolutely terrible looking. This gist gives you a simple userChrome.css to restore tabs to the pre-Nova look while still retaining the rest of the Nova UI enhancements. This works to fix both vertical and horizontal tabs.
In Firefox's about:config, verify the following settings:
browser.nova.enabled = true
sidebar.verticalTabs = true
toolkit.legacyUserProfileCustomizations.stylesheets = true
In Firefox's about:support, find your Profile Folder. Mine was something like /Users/matt/Library/Application Support/Firefox/Profiles/xxxxxxxx.default-release
Then add the userChrome.css below to chrome/userChrome.css in your profile folder. Pay attention to the chrome subfolder as it may not exist and needs created. If you already have a userChrome.css, you may need to modify it so it doesn't conflict with this gist.