Little women, big health problems! Amanda Loy is back on Season 2 of Little Women: Dallas, and her storyline definitely got a lot more interesting this season after she had her first-ever date with a woman during last week’s episode. But things take a scary turn after she decided to undergo a breast augmentation surgery and she experiences a major complication during her boob job.

In a In Touch exclusive sneak peek from tonight’s double episode, Amanda’s best friends Asta Young and Tiffany Chance accompany her to her appointment and they offer words of encouragement and moral support as she headed in for surgery. Watch the full sneak peek below!

“Can’t wait to see you double D’s after,” Tiffani says and Amanda laughs as she follows the nurse inside the surgeon’s office, where she starts to prepare for her surgery. Meanwhile, Tiffani and Asta wait for Amanda in the waiting room.

“Putting on this gown, everything’s starting to sink in now,” Amanda says in her confessional, and she seems to start questioning her decision. “I mean, who chooses to have major surgery? This is really starting to scare me.”

Amanda is a female bodybuilder, and she’s been working hard at training over the past six years and she was even the first-ever female NPC figure competitor. But even though she loves to flaunt her athletic frame, she decided to undergo surgery to enhance her breasts.

Cameras were allowed in the operation room, and they captured every moment of the female body builder’s procedure. Things seem to be going well when Amanda’s blood pressure starts to drop — and she becomes unresponsive in the middle of her surgery as she’s laying on the operating table! Fans will have to tune in to tonight’s episode to find out what happens next.

Little Women: Dallas will air two back-to-back episodes starting at 9 p.m. on Lifetime.