Discover how the Slaton sisters achieve their weight-loss journey.
Amy and Tammy go to Atlanta to meet Dr. Procter to discuss weight loss surgery. When they arrive, Dr. Procter gives Tammy a hefty weight loss goal before he will approve her for surgery, meanwhile the Dietician has more bad news for Amy.
The Slaton's are larger-than-life sisters who have always relied on each other and food for support. Amy, age 31, is desperate to have children, but hasn't been able to due to her weight. While Tammy, age 32, is one step away from being bedridden.
After fighting with Tammy, Amy has a much-needed date night with Michael.
Amy decides to have a real wedding ceremony because if she gets approved for surgery, she's afraid she may not survive; after the wedding, the sisters head to Atlanta hoping for a life-changing final weigh-in.
Amy undergoes gastric bypass surgery to change her life, but endangers herself by not sticking to the post-op diet. Tammy seeks support from her love interest, Jerry. Two months later, the sisters reveal the changes they've made.
While Amy reaps the benefits of weight-loss surgery, her sister Tammy worries that she gained weight during quarantine. A visit to urgent care gives Amy life-changing news. Tammy’s family confronts her over her health.
The Slatons head back to Atlanta to see Dr. Proctor. Amy is worried about dropping the news that she got pregnant so soon after surgery, against doctor's orders. Tammy returns knowing she's gained all the weight back.
Tammy and Amy blame each other for their issues in therapy. When Tammy gets devastating news from Dr. Procter, her brother Chris makes a life-altering decision. A very pregnant Amy can't stop overeating, and the results are disastrous.
Tammy must step on the scale again after not sticking to her diet.
Tammy's new doctor gives her what feels like an insurmountable weight goal, but it's not the only challenge she's facing. Amy and Michael drop a bomb that changes everything.
Tammy's boyfriend, Jerry, comes to visit just in time to celebrate the sisters' favourite holiday: Halloween. Tammy's sister Misty questions Jerry's intentions. Amy has to face another weigh-in after her concerning appointment with Dr. Procter.
Amy counts down the days until her delivery with an eccentric photo shoot, while the family worries that Jerry is derailing Tammy's diet. Tammy reveals her big secret to Jerry.
When Tammy and Amy go see a psychic, they both get disturbing news. The family rallies together, and they are willing to try anything to help Tammy lose weight. Amy must face her worst fears when she's rushed to the ER.
Amy gets unsettling news about the birth of her baby as her high-risk pregnancy has last-minute complications; with their next weigh-in ahead of them, Chris and Tammy are cautiously optimistic until Tammy steps on the scale.
Recovering from the coronavirus, Tammy now needs constant oxygen, and her weight spirals; Chris faces his final weigh-in; Amy makes a big decision about her future; with Tammy's romance heating up, the family takes matters into its own hands.
With her weight spiraling, Tammy makes a life-altering decision; Amy finally gets a taste of the life she's always wanted, but, unfortunately, it's short-lived; an emergency surgery has repercussions for Chris.
Tammy is back from rehab, and Amy kisses her freedom goodbye as she comes to a decision regarding her sister; with his bariatric surgery on the line, Chris tries to shed the weight he's gained but is shocked when he and Tammy step on the scale.
Amy is upset that Tammy's new nurse isn't pushing her enough; Tammy has started slacking, and the family worries about what could be the cause; Chris and Tammy clash when he confronts her about the new man in her life.
When Amy tries to get her house in order, she must confront some demons from her past. Tammy admits to a few cheat days just before her first doctor's appointment since rehab. Chris steps on the scale that could change his life.
Chris comes down on Amy for enabling Tammy.
Tammy must see a new therapist, but things don't go the way she'd hoped; Amy wants to lose her excess skin, but she gets bad news at the plastic surgeon's office; Chris faces the scale; if he's below 400 pounds, his surgery is on.
Chris faces the ultimate weigh-in to get approved for bariatric surgery. With Tammy's weight at a standstill, Amy and Michael make a life-altering decision. The family's fears about Tammy's choice in partners are realized.
While Chris makes progress after his surgery, Tammy gets discouraging news. Amy plans a unique bash for Tammy's 35th birthday. The family excitedly plans their first vacation together with all five siblings, but concerns rise about Tammy's mobility.
The family vacation starts off terribly when Tammy refuses to enter the cabin. Chris hopes he's lost enough weight to fulfill a life-long dream. A last attempt to save the vacation ends in another confrontation. The siblings discover Tammy's secret.
After a rift on the family vacation, Amy returns home and drops a bomb on Tammy. While Amy focuses on her new life, Tammy makes a decision that takes her even further away from her weight-loss goals.
Amy and Michael finally move out of the duplex, while Tammy's partying phase takes a turn for the worse. Amanda tries to get through to her sister before it's too late, and Amy's in for a rude awakening at her annual check up with Dr. Procter.
Amy sees a paediatric dietitian and faces some difficult truths about Gage's diet. Dr. Smith makes a house call and confronts Tammy about her partying lifestyle. While on the road with Chris, Tammy's health hits a dangerous low point.
Having survived yet another brush with death, Tammy recovers at rehab, but a new scare threatens her life. The family adjusts to life without Tammy, and Amy's big surprise stuns everyone.
Tammy's seemingly good progress inspires Amy to visit, reuniting the siblings for the first time in months; Amanda begins a new chapter in her life; Amy learns she's at risk of serious complications if she doesn't get her eating under control.
Tammy hits a tipping point at rehab, and then more bad news from back home sends her into a downward spiral. Chris gets a reality check during a check in with Dr. Smith, and the family says goodbye to a beloved family member.
After finding out Tammy's been robbed, Misty and Amanda visit to break the news in person. While Chris pushes ahead toward his surgery goal, Amy has a setback and is rushed to the ER. With her sisters by her side, Tammy faces the results of her weigh in.
After doing the unthinkable, Tammy tells Dr. Smith that she met her weight goal and, later, gives her family big news. Chris serves up an unusual main course at a family gathering. The family worries when Amy's C-section takes much longer than expected.
Amy reels from giving birth and finding out Michael has COVID-19. After 20 years, Chris gets back on the horse -- both figuratively and literally. Tammy is almost at the finish line for surgery approval but worries she won't pass her final assessments.
After years of struggling, Tammy finally has her weight loss surgery, but things are not as straightforward as expected; Amy meets with Dr. Procter and gets an ambitious weight loss goal.
Tammy wants to come home, but a setback causes a major blowup between her and the family; when a new man enters Tammy's life, all bets are off; Amy feels the stress of motherhood; Amanda contemplates a new chapter.
Amy will be the Maid of Honor in Tammy's shortly upcoming wedding, but the family wonders if there's a reason behind the short deadlines.
Tammy's big day has arrived, but Amy struggles on multiple planes, and the groom's intentions are being questioned.
As Tammy heads home after 14 months in rehab, she's forced to make the most difficult decision of her life. Fed up with not having help, Amy feels her marriage is starting to unravel. Amanda and Misty reveal they're getting bariatric surgery.
Tammy hosts a housewarming party and has a few choice words for her mom. Amy's world is turned upside down when she finally confronts Michael over his lack of help with raising their two boys. Meanwhile, Caleb hasn't been honest with Tammy.
After the blowout with Michael, Amy decides to make the hardest decision of her life. Chris and Tammy have a long overdue appointment with Dr. Smith. Worried about surgery, Amanda and Misty do a last-minute cleanse to sweat out nicotine.
Amanda and Misty get big news and take a major step in their health journey; Amy and Tammy blow off some steam; Amy gets some devastating news from her lawyer that sends her reeling.
Amy faces Michael in court at their first divorce hearing. Chris finds an unusual way to get healthy food. Tammy explores the possibility of having kids. Later, Tammy heads to rehab for a recon mission after learning some information about Caleb.
Caleb surprises Tammy with a romantic dinner date, but it goes south when Tammy learns what's on the menu. The Slatons attend a Zumba class together, but Amy's lack of self-care leads to a meltdown that has the whole family feeling déjà vu.
The family preps for their very first beach vacation, and Tammy hits some major milestones. While everyone flies, Amy opts for a nine-hour car ride which leaves her and the boys cranky. Then, Chris gives Amy some tough love.
Amanda reels after leaving dinner. Chris crosses something off his bucket list, and a dolphin tour takes an unexpected detour. Tammy tries to have fun but misses Caleb. Fed up with her siblings critiquing her, Amy reaches her boiling point and explodes.
Amy is ashamed of her behavior in Florida and wants to make amends, but she worries Amanda won't accept her apology. When Tammy gets some devastating news, her whole world is turned upside down, and her family rallies behind her in support.
Tammy takes small steps towards independence, Amy moves home but struggles with ghosts of the past, the sisters get new looks to go with their new attitude, and an upcoming Dr. Smith appointment has everyone on edge.
For the first time ever, Dr. Smith holds an all-sibling weigh-in appointment, and the moment of truth is a tough pill to swallow for some. With her recent makeover, Amy looks ahead to her new life. Tammy and Amanda's long-running sibling feud reaches new heights.
Tammy needs a new place to live but finds more problems than solutions, and Amy makes a peace offering with some highly questionable ingredients.
With bonus scenes -- A time for cheer is met with jeer as the entire family remains divided during Christmas. Amy celebrates her first Christmas as a single mom and decides to try on heels for the first time ever. Chris confesses the house for Tammy won't be ready in time, which leaves him with only one option.
Chris gears up for his upcoming appointment with a plastic surgeon and encourages Tammy to tag along. Amy whips up dinner for the whole family, however, dinner gets thrown into chaos when one of the siblings drops some big news.
Tammy has her heart set on skin removal but is met with a roadblock. Amy works on rebuilding her self-esteem. While Chris and Misty get closer to their goals, Amanda falls behind, and a rift between the siblings threatens to divide the whole family.
Tammy and Amy beef over their big night out. Chris and Amy see a genealogist and the results make the family consider taking a trip overseas. The family decides to do a 5k but tempers quickly flare.
Everyone prepares for London amid another flare up between Tammy and Amanda; Chris and Tammy visit Dr. Turner hoping to get approved for skin removal surgery; the family participates in a 5K and Amanda makes her move to Florida.
The family arrives in London for their first international vacation and learns even more surprising news about their ancestry. Tammy is pushed to her physical limits and a major meltdown puts the rest of the trip in jeopardy.
The family deals with the aftermath of Amy's meltdown; back home, Chris gets skin removal surgery; Amy has a risqué photoshoot; Tammy finds doctors who can do her skin removal surgery but some test results forces Tammy to confess a long-held secret.
The family watch back highlights from the show and respond to viewer comments.
Sisters Amy and Tammy must lose weight to qualify for bariatric surgery.
