Original air date: 01/09/2019 Runtime: 42:33 min. 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. Later, the family has a pool party and Casey confronts Ed over his name-calling.
Original air date: 01/16/2019 Runtime: 42:33 min. 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.
Original air date: 01/23/2019 Runtime: 42:33 min. 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.
Original air date: 01/30/2019 Runtime: 42:33 min. The family's explosive 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.
Original air date: 02/06/2019 Runtime: 42:34 min. 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.
Original air date: 02/20/2019 Runtime: 42:33 min. 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 as they lose motivation?
Original air date: 02/27/2019 Runtime: 41:53 min. 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 it could be too late.
Original air date: 03/06/2019 Runtime: 41:13 min. The Anderson family works through their issues in group therapy. Chitoka & Shavonne face the painful memories that have kept them from losing more weight. With Shavonne's surgery in sight, will she give into temptation and suffer a major setback?
Original air date: 03/13/2019 Runtime: 42:33 min. 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 drastic weight loss.