Cousins Casey, Amanda, Amy and Ed are morbidly obese; when Amanda decides to have bariatric surgery, the family considers doing the same.

Amanda undergoes bariatric surgery in the hopes of losing enough weight to treat her cancer; Casey meets with Dr. Procter and is told he'll die if he doesn't lose weight; the family has a pool party and Casey confronts Ed over his name-calling.

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 comes together to support Amy on her tough road to recovery; as Ed's surgery rapidly approaches, his daughters start expressing their concerns; Casey starts questioning surgery more than ever after watching Amy go through post-op.

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 re-enter the dating world for the first time in a decade; Chitoka tries to get back on track.

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.

The family anxiously wait 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 after surgery.

After years of being bedridden, Chitoka’s surgery day is finally here, but her size makes the procedure extremely dangerous; Naomi shares a secret with her friends; the cousins reveal their startling transformations at Beverly’s birthday party.

The six one-hour episodes begin with Beverly, Naomi's mother, who undergoes weight loss surgery in a last attempt to turn things around and hopefully inspire her daughter, niece and nephew to follow in her footsteps. In helping her mother recover fro…

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.

Stressed out Naomi struggles with her liquid diet and may reach her breaking point; Drew wants to have the weight loss surgery, but when he steps on a scale he's thrown off entirely; bed-bound Chitoka asks Dr. Procter for a house call.

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