BACKGROUND Obesity is the accumulation of excess adipose tissue in the body to an extent that it impairs both physical and psychosocial health affecting nearly every system of the body. We wanted to study the prevalence of dermatological manifestations of obesity, their relationship with Body Mass Index (BMI), the prevalence, age and sex distribution. METHODS This study included two hundred new consecutive patients 18 years and above, attending the OPD of Department of DVL at a tertiary centre from August 2018 to June 2019, with BMI of more than 30 kilograms per square meter, waist circumference of > 90 centimeters (cm) in males and > 80 cm in females. Pregnant/lactating patients and immunocompromised patients were excluded. A detailed history and a thorough general and systemic examination were done. RESULTS There was a male preponderance with 111 male patients and 89 female patients, the male to female ratio being 1.24:1. Most of the patients (28.00 %) belonged to 51-60 years age group. The mean age of the study group was 56. Most of the patients were farmers (35.50 %). Most of the patients belonged to Grade-I obesity. Hyperinsulinaemia was seen in 89.50 %. Diabetes, hypertension and hypothyroidism were seen in 25.00 %, 21.00 % and 12.50 % respectively. Raised lipid profile was seen in 37 patients (18.50 %). Many patients had multiple conditions. The most common disorders in our study was acanthosis nigricans (83.50 %), followed by skin tags (72.00 %), stretch marks (70.50 %), dermatophytosis (36.00 %), acne vulgaris (31.00 %), patterned hair loss (30.50 %). Lupus vulgaris (2.00 %), molluscum contagiosum (1.50 %), verruca vulgaris (1.50 %), lymphoedema (1.00 %), scrofuloderma (0.50 %), pemphigus vulgaris (0.50 %) and lipodermatosclerosis (0.50 %) were seen in the least number of patients. Hirsutism was seen in 43 patients (48.31 % of female patients and 21.50 % of total patients). CONCLUSIONS This study highlights the magnitude of the effect obesity has on the skin. The clinicians should consider BMI evaluation and waist and hip measurements as a crucial component of any dermatologic examination.