A collaborative study including Dr. Andrew Hansen, assistant professor of community health behavior and education, and Dr. Jian Zhang, associate professor of epidemiology at the Jiann-Ping Hsu College of Public Health Georgia Southern University examine the change in misperception of child’s body weight among parents. Little is known about parental recognition of their child’s overweight status over time. The aim of this study was to examine the prevalence of parental misperceptions related to preschool children’s weight in the last two decades. Results from the study indicate there was a declining tendency among parents to perceive overweight children appropriately. Strategies are needed to explore how to encourage clinician discussions with parents about appropriate weight for their child and strengthen capacity for childhood obesity prevention.