Appearance-based judgements are common across a range of contexts but the utility of this in terms of health is questionable. Should the appearance of health take dominance over the reality of health, the consequences for the individual may be serious. Weight, as a source of stigma and discrimination, may be especially problematic in relation to appearance-based judgements and what follows, and individuals struggling with disordered eating may find it hard to gain recognition: this may well be mediated by weight. Recruiting individuals through an initial questionnaire, participants representative of the weight spectrum and age-range, were selected for interview. Phone interviews were semi-structured, exploring experiences of disordered eating and individuals' perceptions of the impact of their weight across a variety of contexts. The interviews were transcribed and uploaded to NVivo. Thematic analysis was then used to identify the themes and issues regarding weight presentation across the family, healthcare and social contexts. Clear evidence of weight-based bias within these contexts was displayed across the weight spectrum and suggestions for improvements were made regarding access to support and treatment, family support, and training for healthcare professionals and educators, with questions being raised around the assumed 'simplistic' connection between health and weight. In listening to the voices of those with lived-experience of disordered eating, we hear the clear message to not make assumptions about health based on weight and the request that we place greater emphasis on listening than on the appearance of health or functionality.