Childhood obesity is a critical and growing public health concern in Australia and New Zealand, with significant long-term physical, psychological, and social consequences. Early and ongoing support by health care providers skilled in working with families and children is critical to effectively address childhood obesity. I will focus on strategies you can use in your everyday practice to help you engage meaningfully with families affected by obesity achieving better health outcomes. I will also discuss the positive health impact seen with early intervention. Finally I will review the latest evidence for treatments such as specialized diets, GLP-1RA’s and weight loss surgery.