In this episode, the teams must face the challenge of climbing 74 stories in the tallest building west of the Mississippi.

Caroline Rhea ("Sabrina, The Teenage Witch") hosts this unscripted, one-hour series in which two competing teams follow comprehensive diet and exercise plans to undergo radical physical makeovers. In this episode, the teams put their new stamina to the test and Blue Team Trainer Bob reaches his boiling point after one contestant refuses to workout. Also, an elimination surprise divides one team.