An interview with Dr. Vincent Felitti about his groundbreaking work discovering the high prevalence of child sexual abuse among those who are obese. In his clinic 55% of patients coming in for treatment of obesity had histories of child abuse. When the patients were asked, it turned out that obesity was a form of solution to the problem of unwanted sexual advances. The eating was a form of comforting for painful feelings, but being large made people (men and women) feel safer in the world. He reports that obesity treatment programs that do not address the underlying problems of early childhood painful experiences will not be able to address the heart of the problem.