At 18-years old, Billy peaked at a staggering 850 pounds. In an effort to save his life, he must lose more than half his own body mass. The first TLC special, Half Ton Teen aired in January 2009 and followed Billy as he underwent skin surgery and shed 200 pounds.
In this follow-up special, TLC continues to document Billy’s journey as he undergoes bariatric surgery. From the risky gastric sleeve surgery to the difficult recovery to his eventual transformation, the cameras follow him every step of the way. Through the process, Billy encounters the greatest obstacles of his life, which include changing his sedentary lifestyle and cutting the unhealthy bond between he and his mother so he can learn how to take care of himself.