"What happens to us if you die?"

This question, uttered by his ten-year-old daughter, forced Nick Mirrione at long last to face facts. He was close to 500 pounds.
A multitude of different diets hasn't worked. Health retreats haven't worked. Self-restraint hasn't worked. Ignoring the problem hasn't worked, either. Forty-year-old Nick is in need of drastic measures.
Enter Dr. R. Armour Forse, bariatric surgeon. Maybe bariatric surgery can solve Nick's problem - a gastric bypass procedure. But it will depend on what Nick's problem really is - the weight, or the emotional conditions that have led to it. And thus begins Nick Mirrione's journey - a journey of self-discovery that eventually leads to one more question: Who is this guy?