The prevalence of obesity is currently increasing in children and young adolescents in France, and affects about 10 to 14% of them. Therapeutic objectives should aim to improve, on the long-term, the weight/body mass index curve. Restrictive diet and weight loss should not be the primary target. The focus has to be on a balanced healthy diet, tailored to children growth, associated with a regular physical activity. Children weight management should be within the usual life conditions, taking into account familial and social environmental conditions, through a multidisciplinary team approach as those implemented in our paediatric medical centre. The objectives, management steps and current results of our therapeutic educational project are described.