Concerns over the relation between media use and adolescent health behaviors have stimulated many health curricula in high schools. Missing from this area's literature is how teens characterize their own media use and thoughts on media's place in their lives. This gap challenges educators charged with media and health education. The authors explored adolescents' media preferences and perceptions surrounding media use and its implications. Participants were 21 students from a large (2,200 students) economically and racially diverse high school who participated in semistructured, 1-on-1 interviews. Results of this study demonstrate a range of perspectives on issues such as pleasure and guilt in media use, parental concerns over media use, and the influence of the media on personal health behaviors. These results suggest important implications and strategies for educational practice.