Every day we encounter obese patients in our office, reminding us of the reality of the pediatric obesity epidemic. Many of us do not feel comfortable dealing with the issues associated with this epidemic in the office setting. Numerous studies demonstrate that pediatricians and others caring for children feel ill-equipped to deal with obesity or overweight and find difficulty in even addressing it. Determining who merits evaluation and intervention and then determining what needs to be done raises important questions in a busy practice. This issue, with articles written by renowned experts in various aspects of childhood obesity, is meant to provide practical advice for clinicians who deal with this problem in their young patients.