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I very much enjoyed the article "Obese Patients' Perceptions of Treatment Outcomes and the Factors That Influence Them" by Foster et al,¹ and would like to contribute a few comments. It is clear that there is a mismatch between obese patients' and their physicians' weight loss goals (for the patients!). Patients are driven by body image concerns, which require large weight losses. Although physicians would also like to help patients achieve their goals, we are also influenced by the knowledge that a relatively small weight loss is not only realistic, but also worthwhile, for health enhancement. It is clear that until we are able to consistently facilitate large weight losses, one of our main tasks is to convince patients that health enhancement with moderate weight loss should be an alternate goal, that weight loss short of body image ideal should be viewed as health success rather than (or at least . . . [Full Text of this Article]