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Objective: Identify areas of consensus on integrating lifestyle medicine (LM) into primary care to achieve optimal outcomes., Methods: Experts in both LM and primary care followed an a priori protocol for developing consensus statements. Using an iterative, online process, panel members expressed levels of agreement with statements, resulting in classification as consensus, near consensus, or no consensus., Results: The panel identified 124 candidate statements addressing: (1) Integration into Primary Care, (2) Delivery Models, (3) Provider Education, (4) Evidence-base for LM, (5) Vital Signs, (6) Treatment, (7) Resource Referral and Reimbursement, (8) Patient, Family, and Community Involvement; Shared Decision-Making, (9) Social Determinants of Health and Health Equity, and (10) Barriers to LM. After three iterations of an online Delphi survey, statement revisions, and removal of duplicative statements, 65 statements met criteria for consensus, 24 for near consensus, and 35 for no consensus. Consensus was reached on key topics that included LM being recognized as an essential component of primary care in patients of all ages, including LM as a foundational element of health professional education., Conclusion: The practice of LM in primary care can be strengthened by applying these statements to improve quality of care, inform policy, and identify areas for future research., Competing Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Richard M. Rosenfeld, MD, MPH, MBA, DipABLM (Methodologist): Director of Guidelines and Quality, ACLM; prior Chief Medical Officer, ABLM. Jonathan P. Bonnet, MD, MPH, FAAFP, FACLM, CAQSM, DipABOM, DipABLM (Panel Member): Consultant to AAFP's Lifestyle Medicine Tool Kit (Ardmore Institute of Health Grant)—Consultant to Emory Lifestyle Medicine and Wellness for Teaching Kitchen (Ardmore Institute of Health Grant)—Co-chair of ACLM Board Review Course—Advisory Board of Forfend Health—ABLM Board Member—Co-author of Lifestyle Medicine Handbook: The Power of Healthy Habits—AJLM CME Question Writer. David Bowman, MD, DipABLM (Panel Member): Board of Directors for ACLM. Amy R. Mechley, MD, FAAFP, FACCLM, Dip ABLM, DipABFM (Panel Member): Investor in Poplar Health-ABLM Board member and ABLM Chair-elect. Rajiv K. Misquitta, MD, FACP, Dipl. ABLM (Panel Member): Co-author of a book on plant-based eating called “Healthy Heart healthy Planet.” Michael D. Parkinson, MD, MPH, FACPM (Panel Member) Advisor to employers, health care organizations, numerous startups and Pivio (formerly CHIP - Complete Health Improvement Program). Padmaja M. Patel, MD, FACLM, DipABLM (Panel Member): Investor in Poplar Health and Nudj Health. Advisory board of member of Nudj Health. Karen R. Studer, MD, MBA, MPH, FACPM, DipABOM, DipABLM, Lifestyle Medicine Intensivist (Panel Member):10% FTE for Lifestyle Medicine Residency Curriculum (LMRC) work, a joint product by (LLUH) and ACLM., (Copyright © 2023 The Author(s).)