Maintaining low body fat (BF) levels to compete in a particular weight class is common among high school wrestlers. This study was conducted to examine the relationship between BF percentage and body image perception among wrestlers. Body fat was determined via bioelectrical impedance. Body image was measured by the Multidimensional Body Self Relations Questionnaire (Cash 1985), which calculates ten sub-scales. Sixty-three in-season high school wrestlers were included in the study. Mean body fat was 10.41% (SD+/-4.23), which was significantly lower then the national average for BF in adolescent males (t-value -.851, p<.001). There was a moderate positive correlation between BF and Health Orientation (r=.293, p<.05), and BF and Self classified weight (r=.479, p<.001). This indicated that wrestlers were realistic in estimating their weight status. As BF decreased the wrestlers concern about their health and leading a healthy lifestyle also decreased. In the varsity group (n=48) there were moderate positive correlations between BF and Health orientation (r=.474, p<.001), Health evaluation (r=.403, p<.01), and Illness orientation(r=.323, p<.05). This implies that as BF decreased, there may be less attention paid to symptoms of illness, eating a balanced diet, and efforts to remain healthy. The positive health behaviors become less important as the wrestlers cut weight. The results of the study indicate that wrestlers with low BF may be at greater risk of illness or detrimental consequences of weight loss because they become less able to recognize these symptoms. The implication of this research is the obvious need for education on the adverse consequences of weight cutting and extreme drops in body fat for both wrestlers and coaches.