Background: In developing countries (DCs) such as Saudi Arabia (SA), previous studies have considered EDs to be rare and related to westernised culture, where a thin physique is idolised. However, the rapid transition in lifestyles in DCs makes it reasonable to hypothesise that ED prevalence may be rising in these countries. Similarly, studies in SA show that obesity levels are increasing. However, studies that include the role of psychology for obesity management or in the assessments for metabolic surgeries (MS) are lacking. These deficiencies urge to measure this phenomenon in SA and develop additional management strategies for these disorders. A survey was designed to evaluate the number of referrals for EDs and obesity, the management and level of availability of ED specialists as reported by health care staff and the use of mental-health services in treating EDs and obesity. Methods: A total of 15 health services in SA were surveyed and a total of 123 survey questionnaires were completed by health professionals. Participants were asked to respond to a written survey that included questions regarding the number of referrals for EDs and obesity and available treatment as well as body mass index criteria for MS and the number of patients referred for these procedures. Results: Findings from this study add to those from a few previous studies revealing that all EDs are equally prevalent in diverse cultures. Additionally, this survey showed that the obesity rate is high, however, there is limited psychological interventions in this regard. Conclusion: The perspective of narrowing the cultural categories to either western or non-western countries when considering the aetiology of EDs without considering other socioeconomic factors needs to be changed. There is a requirement for specialised ED training, a need to identify a conceptual framework to provide evidence-based management and increase the levels of involvement of psychiatric professionals in the management of obesity. Although this study was conducted in one region, the results should be generalisable to other areas and to other non-westernised countries were EDs are considered rare. Key words: Eating disorders, Saudi Arabia, obesity, anorexia, bulimia nervosa, stigma, mental health, body image.