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About The Show

Following a surgical team at a Houston weight-management clinic. The doctors perform bariatric surgeries on morbidly obese individuals weighing from 400 to 1000 pounds.


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Episode 1

Living Large

A Father & Son surgeon team perform a Gastric Bypass on Penelope Gavrel, a young lady hoping to change her life and avoid future health problems related to her weight.

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Episode 2

Doctor, Doctor

The doctors perform a gastric bypass on Allen Mata. Former patient Charlissa is undergoing plastic surgery by to have excess skin removed due to her weight loss.

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Episode 3

Battle of the Bulge

Robert Davis performs a Gastric Bypass on an unusual case. While the patient does not appear to be morbidly obese, the majority of his fat is internal.

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Episode 4


Trinston is an overweight bus driver who's hoping gastric bypass will help him get healthy and achieve his dream to be a firefighter.

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Episode 5

The Garth Complex

Tiffany, who weighs 650lbs, returns from season one as the doctors struggle to convince her to enter an extreme weight loss facility before it's too late.

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Episode 6

Weight N'See

While Robert works hard to get Marc approved for surgery, Marc gets some terrible news: his insurance will not cover the cost for him to stay in the hospital.

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Episode 7

Fat Free

Marc is one of the largest patients Robert and Garth have treated. Marc has been approved for surgery, but he must be transported on a specially made stretcher.

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Episode 8

Deathly Ill

After disobeying the doctors' orders, Marc develops blood clots in his legs. Later, Garth has to decide whether or not to perform gastric bypass surgery on Andrew.

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Episode 9

Family Matters

Robert has spent his entire life drinking beer and eating steak. Now he is close to 250kg and suffers from diabetes, high blood pressure and high cholesterol.

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Episode 10

Last Hope

Tiffany weighs over 317kg, eats thousands of excess calories daily and has never even attempted a diet. Is she going to be one of the most difficult patients ever?

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Episode 11

Cut Me Loose

A woman may be sent home because can't afford the gastric-bypass surgery she requires and her family won't help, plus Garth can't get her to stop binging on food.

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Episode 12

The Heavy Hitter

A 500-pound man finds his liquid diet a failure, and Robert and Garth disagree on how to treat him. Also: a woman's weight has left her almost completely infertile.

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Episode 13

Large and in Charge

In our biggest episode ever, we meet the Garbs family, Suzie, Sandra, and John. All three will undergo bypass surgery on the same day.