Kirsten must become independent to get the full gastric bypass surgery she feels she needs. Michael struggles to lose and still battles anger issues while his wife, Roni, wants her own surgery. Will they both succeed or falter under the stress?

Losing over 200 pounds, Doug is now an active part of his family's lives and inspires a healthier lifestyle for them all. However, Doug's eating disorder and trouble finding his own identity threaten to derail his progress.