Penny is transported from her home in Maryland to see Dr. Nowzaradan in a Texas hospital. Once she's there, he shares some grim facts about her weight and BMI.

Olivia travels from Chicago to Texas to see Dr. Nowzaradan, but the 18-hour car trip is grueling for someone in her condition.

Zsalynn is scared going into surgery, but she puts on a brave face for her daughter Hannah. She confesses that she wishes her husband were there to support her.

My 600-lb Life is a four-part series following the lives of four people -- each weighing more than 650 pounds -- over the course of seven years as they collectively try to lose one ton and get their lives back.

Paula is motivated to work out with a personal trainer at her gym, but it's still going to take some time before Dr. Nowzaradan's diet advice really sinks in.

Chuck is surprised to discover that surgery didn't take away his cravings. He's still getting meals from the drive-thru.

Olivia is placed in the hospital for 48 hours to assess her preparedness for gastric bypass surgery.

Since their shows, have Melissa, Donald, Henry and Ashley maintained their weight-loss? We get an update on where they are now. We also see some never before seen footage and get a behind-the-scenes from the shows producer in a "My 600-lb Life" r ...

Post surgery Zsalynn enjoys the next step in her battle with obesity, but her victory is short lived with the arrival of her unsupportive husband.

Zsalynn fights -- and wins -- the battle over tortilla chips at a Mexican restaurant, but she later falls prey to another food craving.

Ashley is trying to get used to her body again. She is 527 pounds and wants to play softball again.

Chuck weighs almost 700lbs and it has hindered every aspect of his life. He's had to downsize his business and his wife feels like a single-parent, who is ready to leave him.

Ashley's career was derailed after she was let go due to her excessive weight. Will she be able to turn her life around and acheive her goal of owning a childcare facility?

James comes from a long line of family obesity and at 706lbs, is determined not to die in the same hospital bed that his father and sister did.

Dr. Nowzaradan tells Tara that if she doesn't change her eating habits immediately, she'll only live five more years. Tara is reduced to tears when her mother delivers an ultimatum on top of that.

Paula mentally prepares for gastric bypass surgery by drastically altering her look with bright green hair dye.