<p>Obesity is a complex disease that requires evidence-based treatments to be effectively managed. Despite extant literature detailing the benefits of treatment options currently available, there is a disconnect between established research and public discourse on the treatment of obesity. Due to the recent surge in popularity of highly efficacious incretin-based therapies, more patients are becoming aware of available treatment options and approaching healthcare providers to engage in conversations regarding weight management. Here, we provide details regarding patient preferences on certain terms related to weight management, and guidance for healthcare providers counseling patients through an obesity diagnosis. Given the evidence that individuals with obesity may have misunderstandings regarding the disease of obesity and the role of treatment options, we provide guidance on these complex topics. The authors of this perspective include researchers, clinicians, and a patient. The guidance provided herein is based on available literature, experience in clinical settings, and lived experience.</p>