On April 1, 2019, the Roundtable on Obesity Solutions of the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine, held a public workshop, A Health Equity Approach to Obesity Efforts, in Washington, DC. The workshop explored the history of health equity issues in demographic groups that have above-average obesity risk and considered principles and approaches to address these issues as part of obesity prevention and treatment efforts. Speaker presentations explored the context and conditions that have contributed to obesity-related health disparities and lessons learned in achieving equity in public health and clinical settings.