Obesity has been measured in several ways such as skin-fold thickness, waist-to-hip circumference ratio, percent of body fat, and weight adjusted for height. The most commonly used measure of weight adjusted to height is the body mass index (BMI), which is defined as weight in kilograms divided by height in meters squared (kg/m 2 ). The BMI is highly correlated to body fat, hence it is almost universally used among epidemiologists. The BMI can be quite accurately used to estimate the body fat percentage in adults using the following equation:Body fat % = 1.2 (BMI) + 0.23 (Age) -10.8 (Gender) -5.4where gender = 1 for men and 0 for women. 1 The National Institutes of Health, the American Health Foundation, and the World Health Organization (WHO) 2 have defined healthy weight as a BMI below 25 kg/m 2 , overweight as a BMI between 25 kg/m 2 and 30 kg/m 2 , and obesity as a BMI greater than 30 kg/m 2 .According to the National Health and Nutrition Examination Survey (NHANES) 1999-2000 data, 64% of Americans are overweight or obese, compared with 56% in NHANES III (1988) and 47% in NHANES II (1976-1980. 3 Increased adiposity occurs when food intake exceeds energy expenditure. Therefore, an increase in food intake or a decrease in energy expenditure, or a combination of both could cause one to gain weight. Evolutionarily, food scarcity has led to our genetic predisposition to effectively store energy in times of food abundance. Abundantly available highcalorie foods and an accompanying sedentary lifestyle are major contributing factors to the obesity epidemic. Examination of trends over the past 6 decades in England shows no relationship between either total food intake or fat consumption and the prevalence of clinical obesity, while proxy measures of physical inactivity (television viewing and car ownership) are closely related. 4 This by no means implies that the amount and type of food intake have no bearing upon obesity, but it does imply that over a large period of time, energy expenditure seems to be the more important variable in the food intake and energy expenditure balance. There is now extensive evidence that links excessive body weight with overall mortality. The relationship between BMI and mortality is a J-shaped curve with an acceleration of mortality risk above a BMI of 30 kg/m 2 . 5 Recent evidence shows that a loss of more than 9 kg in women is associated with a 25% reduction in all causes (diabetes, cardiovascular, and cancer) of mortality and this is most marked for cancer (40%-50% reduction) and diabetes (30%-40% reduction). 6 Obesity is reaching epidemic proportions in America and rising at an alarming rate throughout the world. The morbidity of cardiovascular disease, diabetes, osteoarthritis, and some cancers increases in proportion with increased obesity. Numerous anti-obesity agents are being developed that produce effects through diverse mechanisms. This paper discusses various targets for the pharmacotherapy of obesity with special attention to ß 3 -adrenergic receptors (ß 3 -AR) in obesit...