Most research on male body image to date has focused on young men using quantitative methods. The study reported here is based on qualitative interviews with a sample of older obese men (n = 30) on a weight management programme, and we asked them about bodyrelated feelings. The interviews were all transcribed and analysed using thematic analysis.Our results indicate that although body weight was typically minimised, body image was a key concern, with many examples of body consciousness and body dissatisfaction evident.On the other hand, post-programme weight loss was associated with a transformative shift in body image, with the men emphasising enhanced body confidence, self-esteem and psychological wellbeing. We conclude by highlighting the need to recognise and address appearance issues and/as health concerns for middle-aged and older men.