After years of being bed-bound, Chitoka's surgery day is finally here, but her size makes the procedure extremely dangerous. Meanwhile, Naomi shares a surprising secret with her friends; and at Beverly's birthday party, the cousins reveal their startling transformations.
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.
Chitoka tries 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.
Naomi struggles with her liquid diet and may reach her breaking point. Drew wants to have weight loss surgery, but when he steps on a scale he is thrown off entirely. Bedbound Chitoka takes a big step and asks Dr. Procter for a house call.
Series premiere. Morbidly obese cousins are eating themselves to death, and without weight loss surgery their lives could be cut short, but Beverly, the family matriarch, has surgery in part to inspire the others to do the same.