While Amy reaps the benefits of weight-loss surgery, her sister Tammy worries that she gained weight during quarantine; a visit to urgent care gives Amy life-changing news; Tammy's family confronts her over her health.

Tammy struggles to get back on the weight-loss wagon in order to get approved for surgery, and her brother, Chris, joins her on the journey; Amy must deal with one very big life-altering repercussion of having had her surgery.

Tammy and Amy blame each other for their issues in therapy; when Tammy gets devastating news from Dr. Procter, her brother, Chris, makes a life-altering decision; a very pregnant Amy can't stop overeating, and the results are disastrous.

The Slatons are shocked by the cause of Amy's trip to the emergency room; Chris and Tammy see a new doctor, and Tammy must step on the scale again after a month of not sticking to her diet.

Tammy's new doctor gives her what feels like an insurmountable weight goal, but it's not the only challenge she's facing. Amy and Michael drop a bomb that changes everything.

Tammy's boyfriend, Jerry, comes to visit just in time to celebrate Halloween; Tammy's sister Misty questions Jerry's intentions; Amy has to face another weigh-in after her concerning appointment with Dr. Procter.