bitflipper
For somebody like me, no calculation is required. The doc takes one look at me and says "you're too fat.". Yup, same as the previous diagnosis.
A good eye may be a useful metric. The problem with BMI, is that it is only a rough estimate for an individual. The actual measurement of the fat content of the body is fiendishly difficult, something like trying to find the weight of cashews in a paper bag full of mixed nuts without knowing how many other nuts are inside. In a large population that estimate may be very useful, and it is easily calculated (by a computer at least) from two commonly available and cheap measures. Thus it is a very useful tool for research studies looking at the health effects of obesity or fat loss. But even if you know the amount of total body fat relative to lean body mass, it is not at all clear that such a number will provide accurate risk estimates for an individual. The location of the fat (visceral vs subcutaneous) and type of fat may be important in the health effects of adipose.
http://en.wikipedia.org/wiki/Body_fat_percentage So measuring the BMI in a population may be useful in interpreting health impact, but is does not necessarily imply that it should be used uncritically to guide decisions for a given patient. If your doctor sees a big gut, but cannot pinch a significant amount from the abdominal wall, or an embarrassing large butt and thighs but not much gut, he may well be correct in estimating that you are at substantially less health risk than your BMI would suggest.