In this lesson, students learn about the relationships among environment, genotype, and phenotype. Through a case study approach, students learn about sickle cell anemia, a deadly recessive disease that remains prevalent in the human population because being a carrier of the disease confers resistance against malaria. Students explore the evolutionary trade-offs involved in this classic example of heterozygote advantage. This lesson should take approximately one or two 50-minute class periods and is designed to be used in an introductory high school biology course.