Stressed out Naomi struggles with her liquid diet and may reach her breaking point; Drew wants to have the weight loss surgery, but when he steps on a scale he's thrown off entirely; bed-bound Chitoka asks Dr. Procter for a house call.

After struggling with her liquid diet, Naomi learns if she is approved for surgery; Drew’s new weigh-in leads him down a slippery path; family tragedy motivates Chitoka to try to become more mobile, starting by trying to leave her bedroom.

The family anxiously wait 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 after surgery.

After years of being bedridden, Chitoka’s surgery day is finally here, but her size makes the procedure extremely dangerous; Naomi shares a secret with her friends; the cousins reveal their startling transformations at Beverly’s birthday party.