Cousins Naomi, Drew and Chitoka are morbidly obese. 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.

Stressed out Naomi struggles with her liquid diet. 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 and 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. Tragedy motivates Chitoka to become more mobile, starting by trying to leave her bedroom.

Chitoka attempts 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 entirely if he doesn't fight for it and lose weight.

The family anxiously wait while Drew undergoes surgery. Chitoka surprises even the doctor when she pushes herself further than before. Things take a turn when Naomi and her boyfriend go on their first dinner date post-surgery.

Chitoka's surgery day is finally here. But her size makes the procedure extremely dangerous. Naomi shares a surprising secret with her friends. At Beverly's birthday party, the cousins reveal their startling transformations.

When Drew was too heavy to be weighed at the doctor's office, he took it as a symbol. Now, surgery has allowed him to embark on a new life.

After a successful surgery and a fresh breakup, Naomi is finding herself in a healthier lifestyle. Will this be the new beginning she needed?