In 2015, the 3rd Annual International Weight Stigma Conference was held in Reykjavik, Iceland.1 One of the highly anticipated sessions of the 2-day event was a roundtable discussion on terminology used in weight stigma research and professional practice to describe higher-weight bodies and to identify best practice—how to engage in the conversation without being part of the problem. We tried to include a range of voices on the panel, including weight stigma researchers from health and social sciences, a bioethicist, a journal editor, a representative of an obesity organization, and a size-acceptance activist. At the end of the hour, the only thing that everybody agreed on was that there was no simple answer, other than to respect and honor the wishes of the person or people we were speaking to or about in any given situation. Part of the problem is that the very act of labeling is a process of othering, one that creates a distinction between us and them; which raises the question: who is entitled to do the labeling and why, and in what conditions is such a distinction needed? For example, it is undoubtedly useful to define a group for research purposes, for example, so that the barriers and discrimination they face can be quantified and addressed. However, within the medical setting, the main reason to create a separate category for larger bodies is because they are to be treated differently than slimmer patients. Whether or not such differential treatment is perceived to be necessary reflects fundamentally divergent framings of higher-weight bodies. It is unlikely there can ever be agreement between people whose “solution” to body diversity is social justice and acceptance of this diversity, and those whose “solution” is elimination of the difference. And yet, there has been a move in recent years, particularly among weight-focused research journals, to mandate the ubiquitous use of “person-first” language, such as “person with obesity,” rather than “obese person” (Kyle and Puhl, 2014; Wittert et al., 2015). Person-first language originated through disability advocacy (Blaska, 1993), and many organizations now recommend or obligate phrases such as “person with disability” in place of “disabled person.” Yet the term is far from universally accepted, particularly among the target population (Jernigan, 1993; Vaughan, 1993; Sinclair, 1999; Liebowitz, 2015). Given the current promotion of its use in the “obesity” field, it is worth looking a little more closely into how person-first language contributes to the ongoing and increasing stigmatization of heavier bodies. The origin and intention of the phrase is superficially benevolent, suggesting that a person be considered wholistically and not defined by a particular (negative) characteristic. However, a number of new, and likely unintended, consequences arise from this approach. Hudak (2001 cited in Smith et al., 2007), distinguished between “benign” and “toxic” labeling, where the former is simply descriptive but the latter can lead to oppression and stigmatization. It would be considered absurd to describe a native of Germany, for example, as a “person with German-ness” because adjectives associated with nationality are descriptive and (usually) unvalenced. In contrast, the apparent need to separate a person from the characteristic in question implies an inherent adverse judgment. Second, the idea that we are all people but some of us are “burdened” with this millstone