Health bosses in Suffolk have been trying to find a way to transport a "super-obese" man to another county for life-saving treatment.
Paul Mason, from Ipswich, weighs about 70 stone (445kg).
He needs to travel from his home to a hospital in Chichester, West Sussex, for life-saving specialist treatment.
A spokeswoman for Suffolk Primary Care Trust said the man will probably be taken by road in a specialist ambulance.
A final decision has not been taken and a number of travel options, including an airlift, have been considered, she added.
In the picture taken in 2006 Mr Mason weighed 50 stone (317kg).
In 2002 when he needed hospital treatment Mr Mason had to be taken from his home by forklift through a window which had been removed.