OBJECTIVE: To review the medical literature in the last 5 years regarding obesity in children as well as its treatment. METHODS: Literature review. RESULTS: Obesity is a chronic disease that presents high percentages of therapeutic failure and recurrence, leading to serious physical and psychological consequences, especially in its most severe forms. Health care professionals and families usually neglect the treatment of obesity in the hope of a spontaneous reversal of the condition during adolescence. There is a great probability that obese children and adolescents will continue to be obese in adulthood, thus increasing morbidity and mortality of several diseases. CONCLUSION: Pediatricians are supposed to early identify children at greater risk for obesity, taking effective control measures in order to achieve a more favorable prognosis.