Marty Becker is an overweight medical student from Louisville, KY who travels to San Francisco to research hospitals to intern after medical school. While there, he meets another medical student from Louisville, Emily, in a twist of fate. Thinking the confrontation was "meant to be", Marty is heartbroken because of, he thinks, his appearance. Three years later and morphed into a different person, Marty runs into Emily again. This time she doesn't recognize him at all. Using this to his advantage and not revealing who he is, Marty embarks on a journey of revenge to win back his confidence, only to find he's on a journey to self discovery