Lisa explained that, no matter how much exercise she does, the skin will always be there. Given this, she revealed that she was really hoping a plastic surgeon would hear her story and be willing to help her out. Lisa went on to explain that, since her insurance won't cover the procedure, she needs a surgeon who isn't looking to make a lot of money. Lisa noted that she thought her insurance company's refusal to cover the procedure was unfair, because the company will pay when women with breast cancer need to have their breasts reconstructed. Howard pointed out that the obvious distinction between the two cases is that while one involves cancer, the other concerns a woman who chose to lose weight the wrong way. Upon hearing this explanation, Gary asked Howard what should happen if a woman got breast cancer because she smoked too much, but Howard replied that he had too much on his mind to get into that kind of discussion.