Stanley Nasraway, MD, FCCM, discusses his article published in the April issue of Critical Care Medicine, titled "Morbid Obesity Is an Independent Determinant of Death Among Surgical Critically Ill Patients." Dr. Nasraway is associate professor of surgery, medicine and anesthesia at Tufts University and chief of the surgical intensive care units at Tufts-New England Medical Center in Boston, Massachusetts. His article addresses the growing number of morbidly obese patients entering the intensive care unit and suggests that customized processes be developed to address this unique and challenging patient population. (Critical Care Medicine Volume 34, Number 4, Apr 2006 pp 964-970)