Mama June’s impressive weight loss transformation on her new reality show Mama June: From Not to Hot has been the hot topic of the past few weeks. But in a new clip from the show, it’s clear the former Here Comes Honey Boo Boo star took a major risk going under the knife to shed the pounds.

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In the clip, the 37-year-old is seen going under gastric bypass surgery.

“This surgery is honestly probably the scariest thing I’ve ever done in my life,” Honey Boo Boo’s mom said. “I mean, I could die from it. I’m not one to let go of control easily, and I have no control over this situation once they put me to sleep.”

As everyone is aware, the mother-of-four made it through the surgery, although there were some complications in the operating room. When the docs were attempting the seal the incisions in her stomach, she started bleeding heavily.

After surgery, the reality star was feeling the pain of the operation.

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“Well, it is day one after the surgery, and I’m feeling every bit of the pain today,” she said in another clip. “I’m very, very sore — very agitated.”

Considering she’s worked her way down from 460 pounds to a size four, we’re sure she expected a struggle!

Watch the graphic clip below.

Scroll through the gallery below for photos from the show’s trailer!