At surprisingly young ages, children are becoming vigilant and concerned about their body size and shape. A number of detrimental consequences have been associated with body dissatisfaction, and of particular concern is the development of disturbed eating practices. In search for areas of remediation or foci for prevention, researchers are looking to social influences on body image disturbance and disordered eating. The current study investigated the impact of teasing upon body image, eating concerns, and mood among 194 children in grades 5-6. The sample was drawn from four small, predominantly Caucasian elementary schools in the rural Midwest. Innovative methods of measurement were employed as the frequency and impact of various types of teasing were assessed via self, peer, and teacher reports. Gender differences were noted as girls reported more affective symptoms of body dissatisfaction and negative mood than boys. Teasing was highlighted as an important focus of intervention, and reports of weight-related comments were most predictive of known precursors to more serious disturbances. Peers and teachers evidenced a similar awareness of teasing and identified students at risk for later difficulties, yet they were unable to identify a majority of participants who reported being teased often. In addition, multidimensional models further elucidated the interplay among teasing, Body Mass Index (BMI), negative mood, body image, and eating concerns.