Obesity is a leading contributor to chronic disease, and prevalence in the US military has increased to 17.9% in 2019. However, National Health and Nutrition Examination Survey data has shown that obesity is undertreated, and many physicians are not discussing effective obesity management with their patients. Although behavioral interventions for obese adults have been encouraged, studies indicate that long-term weight loss from lifestyle interventions alone is limited. Evidence suggests combining pharmacological and surgical management with lifestyle intervention improves successful long term weight loss. With the increasing prevalence of obesity, the growing arsenal of weight loss management options, and new awareness of obesity management in the public, it is crucial to evaluate the readiness of physicians to provide their obese patients with a comprehensive weight loss management plan. This study assesses practice patterns in weight loss interventions, determines potential sources of bias in management choices, and monitors use of evidence-based practices for obesity management in family physicians. A descriptive cross-sectional study was conducted among a sample of 387 military family physicians at the 2024 USAFP Annual Meeting Omnibus Survey using an anonymous structured questionnaire. Descriptive statistics were used to determine the prevalence of various weight loss management practice patterns, and case-based scenarios were used to assess evidence-based practices. Only 38% of the studied population discuss all lifestyle, pharmacological, and surgical options during obesity management visits. Responders who discuss all options for weight loss are 3 times more likely to offer medications at an initial visit compared to providers who rarely discuss all options (p<0.01). Medical school graduates after 2014 are more likely to discuss medications at initial visits for weight loss and more likely to offer medications before patients mentioned them than pre-2014 graduates (p<0.001, p-0.015). Only 17% of respondents correctly chose all qualifying characteristics for anti-obesity medications according to the ACC/AHA/TOS guidelines; there was a statistically significant association between history of dedicated training on weight loss medications and ability to choose appropriate candidates (p<0.001). This study provides valuable insight into the approach to weight loss management among military physicians. Key findings conclude that those military physicians who are discussing a wide variety of weight management options are more likely to utilize methods other than lifestyle management alone. In addition, the majority of military family physicians sampled do not correctly identify patients for guideline-based anti-obesity pharmacological management, which may be a barrier to evidence-based practice or comfort with weight loss options other than lifestyle management. Further weight loss management education could benefit this population, and research is needed to elucidate further barriers in weight loss management in this population.