Naomi opens up to her friends about her recent breakup and the setbacks it caused in her weight loss progress.

Chitoka is on her way to Dr. Procter's for the surgery, and her family is right there to support her.

Naomi's boyfriend is unsettled by her physical and emotional changes since having surgery.

Chitoka finally makes it into a car and is on her way to Dr Procter.

Chitoka invites family and friends to witness her walk outside for the first time in years.

Chitoka works with a fitness trainer to try to lose some weight and walk for the first time in a long time.

Naomi visits Dr. Procter's office to see if she has lost enough weight to be approved for surgery.

Drew goes to see Dr. Procter for the first time and is disappointed to find that he is too heavy for their scale.

Dr. Procter visits Chitoka at her home to see what changes she needs to make in order to qualify for surgery.

Drew, who wears an 18x t-shirt, describes his weight problems and how it affects his lifestyle.

Naomi feels guilty after her mother begins to experience complications post-surgery.

Family By The Ton premieires, January 10 at 10/9c only on TLC.

Chitoka works with a fitness trainer to try to lose some weight and walk for the first time in a long time.

Chitoka invites family and friends to witness her walk outside for the first time in years.

Chitoka finally makes it into a car and is on her way to Dr Procter.

Naomi's boyfriend is unsettled by her physical and emotional changes since having surgery.

Chitoka is on her way to Dr. Procter's for the surgery, and her family is right there to support her.

Naomi opens up to her friends about her recent breakup and the setbacks it caused in her weight loss progress.

At 685-lbs, Justin is the largest teenager in America. See some of the daily struggles he faces at his size, and what is driving him to lead a healthier life.

Despite the simplicity of Amish and Mennonite clothes, there are many standards behind pants, shirts and dresses.

Rebecca has dreams, but those are considered vanities in the Amish community. She's hoping to find love -- and a guy who will wash the dishes!

Meet Abe and find out why he yearns to explore the world beyond his Amish farm.

Sabrina doesn't want to wonder "What if?" She's leaving to find out what being normal really means.

Jeremiah was adopted into an Amish family. He's looking to get out and explore his own dreams.

Four Amish and one Mennonite leave the only home they've ever known to answer one question "is there more to life"? Facing being shunned by their families and possible exile from their communities, what will they think about life on the outside w ...

Kate is a bishop's daughter and has lived her life under a microscope. She's chasing dreams of modeling in New York.

What makes the Amish so different from the English -- and from the Mennonites? Find out in this exclusive video.

In the first episode of Season 3, meet five Amish men and women who are struggling with the decision to leave their conservative communities for the chance to pursue big-city dreams and get over broken hearts.