It is hard to wrap your head around the fact that Tammy Slaton once weighed over 700 pounds. Seriously. When 1000-lb Sisters first aired back in 2020, she was mostly confined to her home, breathing through an oxygen tank, and needing a wheelchair just to navigate her own life. Today? She is literally half the woman she used to be. Actually, way less than half.
The tammy 1000 lb sisters before and after transformation isn't just about a smaller dress size. It’s about a woman who survived a medically induced coma to become someone who can now buckle a standard seatbelt and walk through an airport without a second thought. Honestly, it’s one of the most jarring physical shifts in reality TV history.
The Heavy Reality of the Before
When we first met Tammy, she weighed roughly 608 pounds. But that wasn't even the peak. By late 2021, her weight had climbed to a staggering 725 pounds. She’s been open about how dark those days were. She struggled with severe food addiction, depression, and a "bitter" attitude that she now admits pushed people away.
The "before" wasn't just a number on a scale; it was a series of limitations:
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- She couldn't sit in the front seat of a car.
- She required constant supplemental oxygen because her lungs couldn't support her body mass.
- She suffered from "super morbid obesity," a medical classification that put her at constant risk of heart failure.
The turning point came in a terrifying way. Her lungs essentially gave up. She was rushed to the hospital, put on a ventilator, and placed in a coma. Most people thought that was the end. Instead, it was the kick in the pants she needed to finally "wise up," as she told PEOPLE.
The 560-Pound Milestone
Fast forward to the Season 8 premiere in January 2026, and the numbers are almost unbelievable. Tammy revealed she has lost about 560 pounds in total. She now weighs roughly 180 pounds.
Let that sink in for a second.
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She lost the equivalent of three full-grown adults. This didn't happen overnight, though. It started in an Ohio rehab facility where she had to lose 180 pounds just to qualify for weight-loss surgery. She hit that goal, underwent a gastric sleeve procedure in the summer of 2022, and stayed in rehab for 14 months to make sure the habits actually stuck.
The Skin Removal Surgery Reality
You’ve probably seen the TikToks. Tammy has been very transparent about the "aftermath" of losing 500+ pounds. When you lose that much weight that fast, your skin doesn't just snap back. It hangs. She described it as having "head-to-toe loose skin" that was physically painful and caused constant infections in the folds.
In January 2025, she traveled to Pittsburgh to see Dr. J. Peter Rubin at the University of Pittsburgh Medical Center. This wasn't a quick cosmetic nip-tuck. It was an eight-hour surgery that removed over 15 pounds of excess skin from her chin, stomach, and arms.
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Tammy admitted she was actually more "terrified" of the skin removal than the original bariatric surgery. Why? Because it’s a massive lifestyle change. She joked with fans that even showering is different now because she doesn't have to lift heavy folds of skin to get clean.
Why this transformation actually worked
Honestly, most people fail after bariatric surgery. The "honey-moon phase" ends, and the old cravings come back. Tammy succeeded because she finally addressed the mental health side of things. She went to therapy. She stopped vaping (a requirement for her skin surgery). She basically grew up. In early 2026, she even celebrated landing her "first real job," calling it a major "adulting" milestone.
What's Next for Tammy?
The journey isn't "over" just because she’s at 180 pounds. Weight maintenance is a lifelong battle, especially for someone who has struggled with food addiction since childhood.
If you're following a similar path or just feeling inspired by the tammy 1000 lb sisters before and after results, here are some realistic takeaways from her journey:
- Surgery is a tool, not a cure. Tammy still has to measure her portions and prioritize high protein, low-carb meals.
- Mental health is the foundation. Without treating the underlying depression and addiction, the weight usually comes back.
- The "small" wins are the biggest. Being able to walk to a mailbox or sit in a regular chair is often more rewarding than the number on the scale.
Keep an eye on her TikTok (@queentammy86) for the most current updates, as she frequently posts "What I Eat in a Day" videos and progress selfies that show the real, unedited side of life after 500 pounds.