The First Challenge
Dr. Nowzaradan told her that the condition for him to perform gastric bypass surgery on her was that she should lose 20lbs (9kg). She would have to persuade him with her motivation.
When asked why she believed she could change after she had spent years of her life living unhealthy Amber stated that she wished she could be self-sufficient and successful. However, if she remained obese, she could never be that person. She wanted to be.