Obesity is a common and serious medical problem throughout the world. The aim of this study to get relation between fat distribution especially abdominal fat and early carotid atherosclerosis. The study done on fifty obese and twenty lean healthy subjects.Subjected to history taking, clinical examination, anthropometric measurement, laboratory investigations (lipid profile and FBS),resting ECG and IMT of the common carotid artery measured by B mode ultrasonography. The result showed that B mode ultrasonography examination of the carotid arteries can be one of the routine investigations to detect early atherosclerotic lesions specially in simple obese persons.