Title: Lifestyle Interventions Can Work with Super-Super Obese Patient BMI of 90.5 kg/m2: Case ReportGhadeer Al Ghareeb1, Duoaa Abdoh1, Mustafa Kuffy2, Ayman Afify3.1 Preventive Medicine Consultant, Fellows in Lifestyle Medicine Program, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.2 Consultant Occupational Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.3 Family Medicine Consultant, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.Key words: Obesity, Weight Loss, Lifestyle, Primary Health Care, Body Mass Index, Liraglutide.Abstract: patients with super-super obesity represent challenges for health care professionals due to high failure rate, morbidity and mortality. This is a report of successful case of a 38-year-old female with a body mass index (BMI) of 90.5 kg/m2 underwent lifestyle modification as initial management approach.