Researchers consistently have supported the notion that African American women experience greater body satisfaction and are less likely to engage in unhealthy restrictive eating practices due to broader and more flexible body image norms in the African American community. Yet empirical evidence also suggests that African American women experience high rates of binge-eating behaviors and obesity. The purpose of this qualitative study was to gain a deeper understanding of the factors that influence body image norms, eating practices, and overall appearance of African American women aged 25 years and older. Using consensual qualitative research as the guiding method, 11 semistructured interviews were conducted with African American women who self-identified as struggling with body and weight concerns. Five domains were identified: (a) participants’ perceptions of their body image, (b) challenges with body image, (c) participants’ perceptions of eating attitudes and behaviors, (d) role of food, and (e) perceptions of overall appearance. Implications for research and practice are included.