Abstract: Background: Obesity is prevalent in the Veterans Affairs (VA) population, but utilization of obesity treatments by race and ethnicity is poorly understood. Methods: Among all Veterans with BMI ≥27 from 2018-2023, a multivariate logistic regression estimated the association between race/ ethnicity (White, Non-Hispanic Black, Hispanic, Asian, American Indian/Alaska Native, Native Hawaiian/Pacific Islander) and use of treatment (lifestyle change program, weight loss medication prescriptions, bariatric surgery), with adjustment for age, Charlson comorbidity index, hospital, and year of diagnosis. Results: Among Veterans with BMI >27 (n=2,571,060), 35.1% were overweight (BMI 27-29.9), 32.7% had Class 1 obesity (BMI 30-34.9), 28.6% had Class 2 obesity (BMI 35-39.9), and 26.1% had Class 3 obesity (BMI>40), with significant differences by race/ethnicity (p<0.01). Among the entire cohort, 4.74% participated in a lifestyle change program, 7.58% received weight loss medications, and 0.11% had bariatric surgery. Compared to Non-Hispanic White patients, all racial/ethnic minority groups except AI/AN were less likely to receive weight loss medications. Non-Hispanic Black and Hispanic patients were more likely to participate in lifestyle programs. There were no racial/ ethnic differences in bariatric surgery (Figure). Conclusion: Among patients with overweight and obesity, use of non-surgical treatment varies by race/ethnicity, suggesting areas for focused intervention to close gaps in care.