Levy BJ, et al. - Via 400 consecutive obese patients who have undergone shoulder surgery in the beach chair position, the researchers intended to determine the effectiveness of a standardized patient positioning and padding protocol in reduction of lateral femoral cutaneous nerve (LFCN) palsy. No significant difference in the median age, sex, presence of diabetes, median BMI, surgery type, and surgical time in the patients who did and did not develop LFCN palsy. Resolution of all cases within 6 months was noted. The occurrence of LFCN palsy following shoulder surgery in the beach chair position even among obese patients was concluded as uncommon. However, use of a standardized positioning and padding protocol for obese patients in the beach chair position crucially reduced the LFCN palsy prevalence.