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The Best Episodes of My 600-lb Life 

Ranker TV
Updated April 1, 2020 3.7k votes 1.2k voters 90.5k views 114 items

There are so many good episodes of My 600-lb Life, but which ones really stand out? Do you like "Henry's Story" the best, or is "Olivia's Story" your favorite episode of My 600-lb Life? To determine once and for all what the best episodes of My 600-lb Life are, let's rank every My 600-lb Life episode from best to worst.

The reality TV series My 600-lb Life follows the daily life (across the span of one year) of a morbidly obese individual who attempts to reduce his/her weight to a healthy level. My 600-lb Life, which began as a five-part miniseries, premiered on TLC on March 26, 2012. This series isn't serialized in any way, so you can watch any of these episodes on their own without feeling like you're missing out on something.

Vote up your favorite episodes of My 600-lb Life, and downvote any bad episodes that you really didn't enjoy, despite how much you love the series as a whole. It can be painful to put one My 600-lb Life episode over the other when there are so many good ones, which is why you can vote on however many episodes you like.

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list ordered by
1
Steven and Justin's Stor... is listed (or ranked) 1 on the list The Best Episodes of My 600-lb Life
March 29, 2017

Season: 5

Episode Number: 13

Steven Assanti weighs nearly 800-lbs and his brother/nemesis, Justin, is almost 600-lbs. Though the brothers can't stand each other, their father packs up the family to travel across the country to seek help, desperate to save both his sons' lives.

2
Zsalynn's Story is listed (or ranked) 2 on the list The Best Episodes of My 600-lb Life
January 7, 2014

Season: 2

Episode Number: 1

Zsaylnn, once known as the "Fat Girl Rock Star" - married a man who loves large women. Now weighing over 600lbs, she urgently needs to lose weight to be the mother her daughter deserves. Can Zsalynn succeed with a husband who doesn't support her goals?

3
Amber's Story is listed (or ranked) 3 on the list The Best Episodes of My 600-lb Life
February 4, 2015

Season: 3

Episode Number: 1

At age 23, and over 600-lbs, Amber relies on her family, and boyfriend for even simple needs. Her fear of dying young is so overwhelming that she makes the decision to relocate 2,000 miles in hopes that weight loss surgery will give her life back.

4
Olivia's Story is listed (or ranked) 4 on the list The Best Episodes of My 600-lb Life
January 14, 2014

Season: 2

Episode Number: 2

Battling severe depression in the wake of a suicide attempt, 46-year old Olivia hasn't left her Chicago basement in two years. With one last chance at a new life, Olivia will travel to Houston with the hope of having a life-changing surgery.

5
Steven and Justin's Stor... is listed (or ranked) 5 on the list The Best Episodes of My 600-lb Life
April 5, 2017

Season: 5

Episode Number: 14

After a year on a weight loss program, Steven remains completely non-compliant, and Justin focuses on a new career instead of his diet... With neither brother close to being approved for life-saving surgery, time is quickly running out for the brothers.

6
Lupe's Story is listed (or ranked) 6 on the list The Best Episodes of My 600-lb Life
March 23, 2016

Season: 4

Episode Number: 13

At 600 pounds, Lupe spent the last 10 years in bed & totally dependent on her husband. A doctor in Texas is her only hope for change. A cross-country move to save her life, may end up backfiring. Did Lupe wait too long to begin her weight-loss journey?

7
Brandi and Kandi's Story... is listed (or ranked) 7 on the list The Best Episodes of My 600-lb Life
January 4, 2017

Season: 5

Episode Number: 1

Twins Kandi & Brandi have a combined weight totaling over 1100lbs. These inseparable twins fear losing each other to obesity, so they make a change together. But a life-threatening event during weight loss surgery recovery may separate them forever.

8
Sean's Story is listed (or ranked) 8 on the list The Best Episodes of My 600-lb Life
March 16, 2016

Season: 4

Episode Number: 12

26-year-old Sean weighs over 700-lbs with a massive growth protruding from his side and skin so stretched it is tearing apart. His mother is forced to change both of their lifestyles before he can be approved for gastric bypass surgery.

9
Henry's Story is listed (or ranked) 9 on the list The Best Episodes of My 600-lb Life
February 15, 2012

Season: 1

Episode Number: 4

750-lb Henry begins his weight loss journey in the hopes of transforming himself in time to attend his high school reunion.

10
James K's Story is listed (or ranked) 10 on the list The Best Episodes of My 600-lb Life
March 15, 2017

Season: 5

Episode Number: 11

Weighing 791-lbs, James is bedridden, unable to stand, and can barely move his legs. He may only have a few months to live, so his family takes a high-risk journey to Houston, TX with the hope that bypass surgery can save his life.

11
Christina's Story is listed (or ranked) 11 on the list The Best Episodes of My 600-lb Life
February 4, 2014

Season: 2

Episode Number: 5

Christina is a 22-year old married woman from South Haven, Mississippi, who hasn't left her house in two years due to her size. Her doting family has enabled her and she's eaten herself into a state that will soon kill her, if she can't make a change.

12
Nicole's Story is listed (or ranked) 12 on the list The Best Episodes of My 600-lb Life
March 1, 2017

Season: 5

Episode Number: 9

Weighing over 700-lbs, Nicole is on the verge of leaving her two young children motherless. Trying to survive a family of addicts, she commits to Dr Nowzaradan's diet program, but crisis threatens to derail all her hopes for weight-loss.

13
Nikki's Story is listed (or ranked) 13 on the list The Best Episodes of My 600-lb Life
January 6, 2016

Season: 4

Episode Number: 2

Lifelong secret eater Nikki finds her life and career as a costume designer threatened by immobility as her weight climbs to 650-lbs. In urgent need of drastic weight loss, she undergoes gastric bypass and confronts the emotional causes for her eating.

14
Robert's Story is listed (or ranked) 14 on the list The Best Episodes of My 600-lb Life
George Long added Robert's Story

Season: 6

Episode Number: 8

15
Brittani's Story is listed (or ranked) 15 on the list The Best Episodes of My 600-lb Life
January 13, 2016

Season: 4

Episode Number: 3

Brittani married a man who loves large women but at 600 lbs she can barely contribute to their marriage. With dreams of a normal relationship, she gets weight loss surgery. Her entire world then changes leaving her with the challenge to forge a new life. 

16
Melissa's Story Part 1 ... is listed (or ranked) 16 on the list The Best Episodes of My 600-lb Life
February 1, 2012

Season: 1

Episode Number: 1

650-lb Melissa begins her seven-year weight loss journey.

17
Ashley's Story is listed (or ranked) 17 on the list The Best Episodes of My 600-lb Life
February 22, 2012

Season: 1

Episode Number: 5

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 achieve her goal of owning a childcare facility?

18
Paula's Story is listed (or ranked) 18 on the list The Best Episodes of My 600-lb Life
February 11, 2014

Season: 2

Episode Number: 6

Paula has had a tough life, and at over 600lbs, has built a physical wall around herself to push people away. When she suddenly loses someone she loves, Paula can no longer ignore the threat of losing her own life - especially for her children's sake.

19
Melissa's Story Part 2 ... is listed (or ranked) 19 on the list The Best Episodes of My 600-lb Life
February 1, 2012

Season: 1

Episode Number: 2

650-lb Melissa struggles to get to her ideal weight.

20
Joe's Story is listed (or ranked) 20 on the list The Best Episodes of My 600-lb Life
March 11, 2015

Season: 3

Episode Number: 6

Joe is only 30, and trapped in an 800-lb body. He lost his job and is mostly housebound. Can Joe find the strength to face his past and save his life?

21
Diana's Story is listed (or ranked) 21 on the list The Best Episodes of My 600-lb Life
February 15, 2017

Season: 5

Episode Number: 7

Diana, a once thin and active woman, is now a prisoner to her 620lb body. Desperate to break free of her food addiction, she trades the comfort of her apartment for a weight loss journey under the strict authority of her niece in order to regain her life.

22
Milla's Story is listed (or ranked) 22 on the list The Best Episodes of My 600-lb Life
March 9, 2016

Season: 4

Episode Number: 11

At 700lbs, Milla is bedridden and dependent on her husband and five kids. Terrified each day will be her last, they still can't resist her unending requests for junk food. Can Milla stop a lifetime of unhealthy eating to qualify for gastric surgery?

23
Gideon's Story is listed (or ranked) 23 on the list The Best Episodes of My 600-lb Life
February 10, 2016

Season: 4

Episode Number: 7

At 650 pounds, Gideon's weight prohibits him from working, making him completely dependent on his exhausted wife. Desperate for change, he uproots his family to restart his life with weight-loss surgery and hopes for a future of happily-ever-after.

24
Moments of Truth is listed (or ranked) 24 on the list The Best Episodes of My 600-lb Life
January 6, 2016

Season: 4

Episode Number: 1

-Pivotal moments, whether tragic breaking points or ultimate triumphs, decide the success or failure of individuals struggling with extreme obesity. They must face the reality that weight-loss surgery alone is not the answer to reclaiming their lives.

25
Penny's Story is listed (or ranked) 25 on the list The Best Episodes of My 600-lb Life
January 21, 2014

Season: 2

Episode Number: 3

Bedridden for four years, 46-year old Penny knows that her weight may kill her if drastic actions aren't taken. Penny moves from Maryland to Texas, to have gastric bypass - but her unwillingness to make real lifestyle changes could be her downfall.