This talk will navigate the impact of obesity on the heart using a life span lens. Specific attention will be given to Dr. Pathan's recent findings about how mothers metabolic health impacts the fetuses developing heart and the impact of obesity on cardiovascular haemodynamics. The talk will highlight current clinical practice blind spots which lead to under diagnosis of cardiovascular pathology and mismanagement of patients with obesity. Finally the talk will cover significant funding issues which limit our ability to deliver equitable care to patients with obesity