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Paradoxically, overweight and obesity are associated with lower odds of complications and death after hip fracture surgery. Our objective was to determine whether this "obesity paradox" extends to patients with "super-obesity." In this study, we compared rates of complications and death among super-obese patients with those of patients in other body mass index (BMI) categories. Using the National Surgical Quality Improvement Program database, we identified 100,000 hip fracture surgeries performed from 2012-2018. Patients were categorized as underweight