Background Body Image Analysis (BIA) is an important area of research. It attempts to assess how the subject perceives their physical appearance, which can often differ substantially with the actual appearance of their body. One practical application is its use in qualifying bariatric patients prior to undertaking a weight loss surgery procedure. The psychologist plays as important a part in approving the weight loss surgery as the surgeon. The psychologist must undercover disorders such as binge eating and other behavioral distortions that may jeopardize successful surgical results or complicate surgical recovery. The early visual tools used for BIA were developed in the 1970s and early 1980s and have remained relatively stagnant. This paper discusses replacing the traditional 2D paper diagrams in use today with realistic 3D body scanning images. It also provides architectural framework options to incorporate and expand the use of a 3D body scanner within a weight loss surgery clinic or conduct BIA within a cloud based environment without the use of an on-site 3D body scanner. Scope Body image analysis and its related assessment tools started to become an area of study in the 1970's, and blossomed into an active field of research in the late 1980's. Most of the early focus revolved around eating disorders affecting young women and teenage girls. This paper emphasizes body image assessment techniques for the morbidly obese. However, the ideas and architecture set forth are not limited to this area alone. It is extensible and can be applied to the traditional arenas that are concerned with body image analysis from a clinical assessment point of view. All that is needed is a large repository of relevant scan images. History of Body Image Analysis Body Image Analysis is something humans have been doing since early Man began walking the face of the Earth. It is something that we do either subconsciously or consciously every day. It is a qualitative evaluation. That is, we evaluate ourselves in front of a mirror, compare ourselves to others, and also compare ourselves to the myriad of images set forth in movies, television, advertisements and magazines. We also listen to the opinions of others, or overhear casual gossip and listen with interest about the features and impressions made by the appearance of others on these individuals. This is nothing new. Everyone has at one time or another been asked, "On a scale of 1 to 10, how would you rate yourself (or him or her, or this or that)? But, this can hardly be called a scientific effort to "quantify the qualitative." As a starting point for the discussion of body image, a reference as to just how the "ideal body" image creates itself is in order.