OBJECTIVES: Disparities in anti-obesity medication use were clearly demonstrated by Cawley et.al. However, the most effective interventions for obesity management combine nutrition education, diet and exercise counseling, with pharmacotherapy. Thus, the objective of this study was to identify factors associated with obesity management and identify disparities in obesity management amongst adults diagnosed with obesity. METHODS: The study was performed using 2006 and 2007 National Ambulatory Medical Care Survey, a cross-sectional visit level database.  Patient visits (>=18 years) with an obesity diagnosis (ICD-9-CM:  278.00) were included in the study. Prescription of FDA approved anti-obesity medications and/or weight reduction, exercise and diet/nutrition counseling were considered as obesity management. Descriptive statistics and multivariate logistic regression were conducted to identify disparity while adjusting for age, race, sex, region, insurance status, co-morbidity and MSA. RESULTS: Total 113 million visits for obesity were estimated for 2006-2007. Obesity management was provided in 47.84% visits, of which medication was prescribed in 12% of visits. Adjusted analysis showed PCP’s were more likely to provide obesity management (OR - 1.703 CI: 1.325-2.188) than specialists. Patients from non-MSA region (OR - 0.614 CI: 0.455-0.829), and older patients (OR - 0.986 CI: 0.978-0.994) were less likely to receive obesity management. Patient visits that were covered through private insurance (OR - 0.317 CI: 0.166-0.606) or public insurance (OR - 0.297 CI: 0.160-0.552), had a lesser likelihood to receive obesity management. Patient visits with high co-morbid conditions were more likely to receive obesity management (OR - 1.641 CI: 1.085-2.481). CONCLUSIONS: Specialty differences in obesity management were identified, one in two patients diagnosed as obese did not receive obesity management. This suggests that, though it is a known risk factor for many other chronic illnesses, physicians still fail to prioritize obesity and provide effective management.