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The purpose of the study was to explore how obese African American women conceptualize and construct meaning around obesity and bariatric surgery. The authors specifically focused on gaining insight regarding present barriers which may prevent African American women from considering weight loss surgery as a possible option. Utilizing phenomenology as methodological approach, 14 African American obese women, based on body mass index, participated in 30- to 60-minute semistructured interviews regarding their perceptions of bariatric surgery as a treatment intervention for weight reduction. In the study, three themes emerged, which included (a) the meaning of obesity and bariatric surgery, (b) issues in communication, and (c) barriers to bariatric surgery utilization. In the article, the authors discuss clinical implications for African American women and for the medical community, as well as offer recommendations for future research.

The purpose of this study is to highlight a unique case regarding obesity and weight loss in the Christian church that emerged when interviewing men who had experienced bariatric surgery. Thirty-four-year-old “Pastor Tom” was removed from his position in the church due to his obesity. Through critical reflection, utilizing an intrinsic case study methodology, the authors explore how this research participant constructed meaning around obesity and weight loss. In this study, two major themes emerged: (1) leading by example and (2) becoming a leader. The study includes a discussion of implications for the church as well as teaching, clinical, and research implications.