The European Guidelines for Obesity Management in Adults emphasize obesity as a chronic metabolic disease with significant health implications. Obesity is defined by a BMI of 30 kg/m² or higher and is associated with increased risks of various health conditions, including type 2 diabetes, cardiovascular diseases, and cancer. The guidelines recommend a multidisciplinary approach involving healthcare professionals, including physicians, dietitians, and psychologists, to manage obesity effectively. Weight management should focus on realistic weight loss goals, promoting weight loss, maintenance, and prevention of weight regain. Lifestyle interventions, including balanced hypocaloric diets and aerobic exercise, are recommended as primary treatments. Cognitive behavioural therapy is also highlighted as an effective method for addressing unhealthy eating behaviours. Pharmacotherapy may be considered for patients who do not respond to lifestyle changes, with specific drugs such as orlistat, lorcaserin, phentermine/topiramate, bupropion/naltrexone, and liraglutide being recommended. Bariatric surgery is considered the most effective treatment for severe obesity, particularly in cases of morbid obesity. The guidelines also emphasize the importance of long-term follow-up and the need for a comprehensive approach to managing obesity-related co-morbidities. The guidelines are based on a level of evidence and grades of recommendation, with strong emphasis on evidence-based interventions and individualized care. The guidelines aim to provide a framework for the prevention, management, and treatment of obesity in adults, with a focus on improving health outcomes and quality of life.The European Guidelines for Obesity Management in Adults emphasize obesity as a chronic metabolic disease with significant health implications. Obesity is defined by a BMI of 30 kg/m² or higher and is associated with increased risks of various health conditions, including type 2 diabetes, cardiovascular diseases, and cancer. The guidelines recommend a multidisciplinary approach involving healthcare professionals, including physicians, dietitians, and psychologists, to manage obesity effectively. Weight management should focus on realistic weight loss goals, promoting weight loss, maintenance, and prevention of weight regain. Lifestyle interventions, including balanced hypocaloric diets and aerobic exercise, are recommended as primary treatments. Cognitive behavioural therapy is also highlighted as an effective method for addressing unhealthy eating behaviours. Pharmacotherapy may be considered for patients who do not respond to lifestyle changes, with specific drugs such as orlistat, lorcaserin, phentermine/topiramate, bupropion/naltrexone, and liraglutide being recommended. Bariatric surgery is considered the most effective treatment for severe obesity, particularly in cases of morbid obesity. The guidelines also emphasize the importance of long-term follow-up and the need for a comprehensive approach to managing obesity-related co-morbidities. The guidelines are based on a level of evidence and grades of recommendation, with strong emphasis on evidence-based interventions and individualized care. The guidelines aim to provide a framework for the prevention, management, and treatment of obesity in adults, with a focus on improving health outcomes and quality of life.