Not sure what his first one was, but the second sounds like a lap DS .... Looks like his journey is going very well ... 
https://www.ndtv.com/world-news/juan-pedro-franco-onetime-wo rlds-heaviest-man-has-second-surgery-in-mexico-1779367
Frank talk about the DS / "All I ever wanted to be was thin, like that Rolling Stones dude ... "
HW/461 LW/251 GW/189 CW/274 (yep, a DS semi-failure - it happens :-( )
