Extreme Weight Loss is a television program from ABC in which individuals volunteer to receive training and lifestyle changes from trainer Chris Powell. The show is slightly based on the original concept of Extreme Makeover, where individuals receive life-changing makeovers. The exception is that this show focuses primarily on participants losing massive amounts of weight over one year and receiving plastic surgery to remove the excess skin from their transformations.

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Wally, 26, a young father who weighs 490 pounds and whose wife is uncertain if her husband will be around to see their daughter grow up.
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A 23-year-old man tries to fulfill a promise he made to his late mother to lose weight and lead a healthier life.