Anyone who has spent time in an American hospital must have noticed the abundance of free food. Whether breakfast at morning Grand Rounds, a drug representative teaching conference, or a potluck meal in the nursing lounge, free food is ubiquitous. Over the span of 2 decades, much work has been done in the bourgeoning fi eld of hospital medicine, but this subject has been starved of attention. I offer this essay to serve up this neglected topic.Clinicians have long recognized the importance of food in medicine. Hippocrates noted, "It is easier to fi ll up with drink than with food." 1 Handy advice when considering what to eat. Unfortunately, Hippocrates lived millennia before development of the hospital, and we cannot know how profound his thoughts on free food at seminars, meetings, and nursing stations would have been.Not surprisingly, free food is popular in hospitals, but topical contemporary scholarship is limited. A recent covert surveillance study found that a box of chocolate on a hospital ward was opened within 12 minutes, and the median chocolate survival time was 51 minutes. Physicians were the third largest chocolate consumers after health care assistants and nurses. 2 Although popular, the effi cacy of supplying free food as an incentive to infl uence physician behavior is not so clear. Two studies out of the Mayo Clinic provide contradictory results. In the fi rst, attendance at medical grand rounds was assessed before and after complimentary food was served. Providing free food increased attendance by 38.4%. More than half of surveyed respondents indicated food was important in their decision to attend. 3 However, when complimentary food was eliminated from Mayo Clinic Radiology Departmental meetings, attendance rates did not change. 4Pharmaceutical industry practices leave no doubt regarding its view of the role of free food in infl uencing physician behavior. In a national survey of physicianindustry relationships, 83% of physicians reported receiving food in the workplace from industry representatives. 5 Numerous studies have found that such interactions, including industry-paid meals, infl uence prescribing and professional behaviors. 6 Multiple professional organizations have issued guidelines regarding acceptable items of industry support. What's the skinny on industry gifts to physicians? Industry-funded, modest meals to physicians are kosher; gifts that do not primarily benefi t patients are not. 7 A common source of hospital free food once was the doctors' lounge, a place probably familiar only to senior physicians. The doctors' lounge was a site for informal networking, consultation, and complementary food. Food was provided by hospital administrators eager to woo community physicians to refer patients for tests, AUTHOR