Cousins Naomi, Drew, and Chitoka are morbidly obese. They are eating themselves to death & without weight loss surgery their lives could be cut short. Family matriarch Beverly has surgery in part to inspire the others to do the same. Can they do it?
Stressed out Naomi struggles with her liquid diet & may hit her breaking point. Drew wants to have the weight loss surgery, but when he steps on a scale he's thrown off entirely. Bedbound Chitoka takes a big step & asks Dr. Procter for a house call.
After struggling with her liquid diet, Naomi learns if she is approved for surgery. Drew's new weigh-in leads him down a slippery path. Family tragedy motivates Chitoka to try to become more mobile, starting by trying to leave her bedroom.
Chitoka takes on her biggest challenge yet: attempting to walk outside for the first time in years. Naomi finds some things remain the same post-surgery. Drew's surgery is on the brink of being canceled if he doesn't fight for it & lose weight.
The family anxiously waits while Drew undergoes surgery. Chitoka surprises even the doctor when she pushes herself further than ever before. Things take an unexpected turn when Naomi and her boyfriend go on their first dinner date post-surgery.
Casey reaches a boiling point with his parents when they blame his morbid obesity on video games. Amanda starts having pains post-surgery that send her to the E.R. Amy makes major lifestyle changes in the hopes of being approved for surgery.
The family's fight during Ed's surgery leaves Casey questioning whether he should go through with the surgery himself; Amy panics when she learns how difficult the Spartan Race will be; Amanda undergoes testing to see if her cancer has spread.
It's the moment of truth as Casey learns if he has been approved for life-saving surgery; Amanda has huge news regarding her cancer; Amy attempts a hellacious Spartan Race; the King family throws a party to reveal their shocking new looks.
A year after the Anderson family started their weight loss journey, they find that the honeymoon period is over as they begin to struggle. Their 600 lb cousin Shavonne wants to follow in their footsteps, but can they motivate her?
Shavonne calls out the family for not losing weight. Naomi gets devastating news that might derail her goals for good. Drew attempts to reenter the dating world for the first time in a decade. Chitoka tries to get back on track, but is it too late?
The members of the Anderson family work through their issues in group therapy; Chitoka and Shavonne face the painful memories that have kept them from losing more weight.
Shavonne undergoes high-risk bariatric surgery. Chitoka struggles to lose enough weight to be approved for skin tightening surgery. Drew works up the courage to go on another date. The family throws a party for Shavonne to reveal her weight loss.