Surgery enables Teretha to finally return to family in Detroit but it soon threatens to undo all the progress she's made. After his weight loss surgery, trucker Chad gets back on the road, but the job is putting any further weight loss in peril.

Devastated by the sudden loss of her son, Dottie's weight loss journey is in danger of going off track. After her gastric bypass surgery, June embarks on a plan to win approval for skin surgery and start living the life she always dreamed of having.