Megan feels physically and mentally trapped with excess skin under her clothes; Yalena's extreme weight loss counts for nothing unless she sheds her excess skin.

Melissa lost 235 pounds, but her confidence is still low because of her excess skin; Jeff has lost 300 pounds, but continues to hide himself from the world.

Lindsey lost 140lbs, her excess skin keeps her goal of an athletic body out of reach. Derek lost 200lbs his excess skin hinders his training to pass the Police Academy physical. Both are given full body surgical transformations to reveal their new bodies.