Picture the smallest nurse on your staff poised over a sumo wrestler, readying to shift him onto the OR table. Outrageous? Perhaps, but similar scenes are no longer limited to bariatric centers outfitted for weight-loss surgery. It's no secret that the obesity problem affects the general patient population, filling waiting rooms at surgery centers and hospitals with overweight, if not obese, patients. Regardless of the type of facility you run or the cases you host, your staff and facility must be prepared to lift and move large patients. Thankfully, much of today's transfer equipment is designed to do just that at each stage of the perioperative process. Being familiar with the options will help you supply your staff with equipment to protect themselves and the patients they're lifting.