I watched part of it.
I kept thinking about those rumors about how NPC sororities haze their pledges by circling their fat... these chicks just had their fat circled on national TV!!
One good message came out of this show: If you're willing to work for it, you can accomplish your goal. Both these women spent a lot of time in the gym to firm up, followed strict diets, went through therapy, etc.
On the other hand, you shouldn't need a boob job to feel good about yourself.