Obesity is a global problem, independent of age. The numbers ofÂ obese individuals are now reaching epidemic proportions aroundÂ the world. This is contributing to the risk of inherent co morbidity.Â The Pathophysiology of obesity, although widely debated, is stillÂ unclear with suggestions that multiple genetic mutations may haveÂ a key role in the development, but as yet no one genetic mutationÂ is felt to be entirely responsible. Biochemical manifestations suchÂ as diabetes may play a role. The first goal of management of theÂ obese patient will involve dietary and behavioral modification andÂ a programme of physical exercise. In primary care settings, nursesÂ are suitably placed to assess and manage obese patients (NationalÂ Institute for Clinical Excellence (NICE), 2001a). The nursingÂ profession needs to rise to the challenge and prepare nurses for aÂ specialist role in obesity management.