Three obese best friends face tensions as one celebrates weight loss success, while the others feel she's gloating. Caught in their messy relationships at a support group, one hopes for approval for skin removal surgery.
Vannessa's friendship with Meghan and Ashley faces strain. Meanwhile, Scott, a newcomer at Dr. Procter's office, faces a reality check upon weighing himself.
Meghan, Ashely and Vannessa are ready to let the ice thaw by taking an ice plunge. Tina faces her next challenge of getting approved for surgery. Ashely is faced with the hard truth that having a baby may be out of reach.
Vannessa takes a massive step forward on her weight loss journey. Scott addresses the mental side of his food addiction after the girls confront him about not losing enough weight. Tina struggles to adjust to her new life without food
Vannessa shows off her body for the first time since her skin removal surgery. Tina continues to mourn the loss of her favorite foods and questions whether the surgery was even worth it.
Scott books a mountain vacation for the BFFs in hopes of snapping Tina out of her post-surgery funk. It's all fun and games in the great outdoors, but emotions run high when hunger strikes and old wounds are ripped open between Meghan and Vannessa.
Scott goes under the knife. Vannessa and Meghan deal with the fallout of their fight on the cabin trip. The removal group celebrates their progress at an awards luncheon. One final weigh-in determines whether Meghan can get revision surgery.