Reports estimate that obesity was responsible for approximately 365,000 preventable deaths in 2000. This number was second only to that attributable to tobacco smoking. Mounting evidence justifies early intervention for treating and preventing childhood obesity. Since paediatricians are being confronted with typical obesity complications that were once confined to adults, it is crucial that childhood obesity be treated as soon as it is detected. Almost 4 in 10 Indian affluent children suffer from overweight and obesity. However, considering the magnitude of the problem, not all obese children are likely to receive specialised professional care. Typically, parents look up to paediatricians and family practitioners for advice on any issues related to child healthcare. Hence, paediatricians need to integrate weight management and optimization of child health into their routine acute care practice. Dr. Apurba Ghosh in this very interesting topic focuses on the role of the Paediatrician in the management of obesity.