This study examined the nature, occurring contexts, and psychological implications of weight-related teasing in urban physical education programs. Semistructured interviews were conducted with 47 participants from a large urban school district. Data were analyzed using inductive analysis and constant comparisons. Most overweight adolescents experienced many different types of teasing in physical education. Victims of teasing felt hurt and experienced uncomfortable feelings due to social comparisons. Overweight students who were not teased reported a variety of reasons. Teachers lacked awareness of and strategies to handle teasing of overweight students. There is a need to implement preventive policies and rules to eliminate weight-related teasing and create inclusive physical education environments. (Contains 1 table.)