This is very difficult and often not successful. Management consists of a low-calorie diet, increased exercise and family therapy. The whole family needs to be educated about healthy eating and lifestyle behaviour. The goal is to lose weight and then maintain a normal weight. A motivated child and parents are essential if the management is to be successful. The help of a dietician is valuable in drawing up a balanced diet that is practical, affordable and not too high in energy. Bad eating habits of the whole community should be addressed. Soft drinks and refined foods should be avoided and time watching TV limited Emotional support and psychological counseling are often needed. Good eating habits for the family should prevent obesity.