Many strategies designed to address adolescent obesity fail to take into account that youth with obesity are far more likely than their healthy weight peers to experience body dissatisfaction, be highly concerned with their weight, to engage in binge eating, and to use unhealthy weight control behaviors. This talk will examine somewhat counterintuitive findings related to body satisfaction and weight misperception among adolescents with obesity and will include a discussion of best practices for addressing the intersection of weight-related disorders among youth.