Despite all medical improvements, obesity rates have almost doubled since the 1980's and it's still a common public healthcare problem worldwide. Obesity is a well established risk factor for cardiac diseases. Since other issues such as diabetes mellitus (DM), hypertension (HT) and hyperlipidemia (HL) are often accompanied with obesity, it's own contrubition to cardiac risk is not clearly explained. Current knowledge in this area has opened up some definitions that may lead to different assessments like; obesity may also be associated with healty outcomes. Concepts such as metabolic healthy obesity, obesity paradox and protective subcutaneous fat storages require comprehensive assessment when diagnosing obesity and careful considera-tion of subgroups related to future healty outcomes.