This chapter focuses on programmatic approaches for improving body image among youth. By programmatic approaches, we mean systematic efforts that have been undertaken by organizations, typically schools. First, we review the existing empirical research on the effectiveness of school-based body image interventions. Unfortunately, nearly all body image programs are prevention-focused, and remain disconnected from the theoretical and empirical work on positive body image and positive embodiment. For example, outcome measures tend to focus exclusively on the relief of body dissatisfaction or eating disorder symptomatology, as opposed to assessing positive cognitive, emotional, and experiential elements of the body. Yet, research on emotion regulation suggests that attempts at reducing or preventing negative body image likely involve repressive coping strategies that run the risk of engendering short-lived change at best, or even backfiring at worst. Second, we describe existing body image interventions in sport and dance contexts including an innovative new program designed to promote positive body image among youth dancers. We conclude the chapter with a discussion of recommendations for future research. Specifically, we propose that a greater focus on ‘the positive’ in body image programs is necessary as a means of enhancing youth body image sustainably.