Filmmaker Cat Rhinehart spends one year closely following comedian Ralphie May, leading up to his planned weight loss surgery. Initially intended to be a weight loss documentary, what is captured instead is a raw and intimate portrait of a family dealing with addiction, a wife coming to terms with her inability to change the person she loves, and a tragically flawed comedian breaking down during one of the last years of his life.

"You have to want it for yourself."