Introduction: Literature on body image and body satisfaction of baby boomer women (BBW - born between 1946-1965) is limited. Objectives: To examine body image perceptions, weight attitudes and eating behaviours of BBW residing in rural and urban Manitoba. Methods: 1083 participants completed an online survey (completion rate= 87%), consisting of 46 multiple choice, open-ended and visual analog scale (VAS) questions addressing demographics, self-rated body satisfaction and health, body work practices, appearance pressures, and eating habits. Results: Body dissatisfaction (BD) was common among BBW with weight as a greater concern than overall appearance. Body work and dieting behaviours were used to mitigate BD, and media was associated with both body satisfaction and food choices. Conclusion: Healthcare professionals need to better understand body image concerns of aging women and specialized community services are required to address BD and clarify confusing media and food industry messages regarding health and nutrition.