Obesity is a pandemic, and based on recent estimates, greater than one-third of all adults in the USA are obese. Numerous co-morbid conditions stem from obesity, most mentionable of which is cardiovascular disease. Coronary angiography is frequently used to diagnose and treat patients with heart disease. In recent years, there is an increased prevalence of obese and overweight patients undergoing coronary angiography. At our institution (Penn State Health- Hershey Medical Center), more than 80% of our patients undergoing cardiac catheterization are at least overweight, with about 50% having a body mass index (BMI) ≥ 30 and almost 10% having a BMI ≥ 40. These numbers are, unfortunately, not unique. Since patient mass correlates directly with the amount of radiation required to image patients, this obesity pandemic increases the need for greater radiation exposure for imaging and, consequently, more significant hazards of exposure.