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Seventy-five interviews were included in this analysis. We identified three primary themes (1) clinicians and staff involved in obesity management in primary care believe that addressing obesity is an essential part of primary care services, (2) because providing obesity care can be challenging, many practices opt out of treatment, and (3) despite the challenges, many clinicians and others find treating obesity feasible, satisfying, and worthwhile. Treating obesity in primary care settings poses several challenges but can also be very s