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People with a high body mass index (BMI) encounter stigma in the health care setting, which can negatively affect health outcomes. We suggest that providers can reduce this stigma and improve outcomes by moving away from a focus on weighing patients and counseling about weight loss and toward emphasizing healthy behaviors. We propose that a conversation between health care provider and patient about increasing the patient’s physical activity rather than focusing on body weight will enable providers to promote healthful behaviors, decrease stigma, and strengthen patient–provider trust and rapport.

Do No Harm: Moving Beyond Weight Loss to Emphasize Physical Activity at Every Size