1000-lb Best Friends

Vannessa takes a massive step forward on her weight loss journey. Scott addresses the mental side of his food addiction after the girls confront him about not losing enough weight. Tina struggles to adjust to her new life without her best friend: food.

Vannessa shows off her body for the first time since her skin removal surgery; Tina continues to mourn the loss of her favorite foods and questions whether the surgery was even worth it; Ashley's dreams of becoming a mother hit another roadblock.

Scott books a mountain vacation for the BFFs in hopes of snapping Tina out of her post-surgery funk; it's all fun and games in the great outdoors, but emotions run high when hunger strikes and old wounds are ripped open between Meghan and Vannessa.

Scott goes under the knife. Vannessa and Meghan deal with the fallout of their fight on the cabin trip. The removal group celebrates their progress at an awards luncheon. One final weigh-in determines whether Meghan can get revision surgery.