Josie, who won her series of Big Brother in 2010, has made no secret of the fact that she hated the excess skin she was left with after losing an incredible seven stone after her time on the Channel 4 show - and now she's posted a graphic image of the effects of the surgery she spent four years deliberating over.
In the shot, which is split into two, Josie stands in the background in sleek black gym gear and a totally flat stomach, whilst 6lbs of the flesh she had cut away sits on a set of scales in the foreground.
'So happy with the results of my abdominal plasty in September..', she captioned the powerful image. '[S]car is amazing and healing nicely..Elain Sassoon was my surgeon and she is an incredible woman.'
And though the snap might seem extreme to some, many fans have jumped to her defence praising not only her weight loss but her brave decision to have the surgery.
'You look fab x very envious for if I had the money I would go for it x I had huge babies had left years later with really bad loose skin x it's like a huge apron x ugh,' wrote one.
'You look amazing @josiegibson85 A truly strong inspirational women,' said another.
In June last year, Josie appeared on Loose Women to show off the loose skin on her belly, which she said she '[couldn't] do anything about' despite 'working so hard' to lose the weight.
She said at the time: 'I'm going to see a surgeon on Monday. I can't do anything about it. I've been to see so many consultants and the only thing they can do is cut it away.'
'Part of me thinks, Josie, be happy with what you've got but the other part thinks, well you only live once you might as well have the body you want to have.'
In November of the same year, she appeared on Channel 5's Botched Bodies to show off the results of the operation – including a 13 inch scar across her lower abdomen and taut, toned skin across her tummy (and a newly defined belly-button she proudly called 'Herbert'!)