Managing a patient with obesity requires a personalized approach that involves many permutations of the traditional "eat less, exercise more". Although effective and safe pharmacologic, bariatric surgical, and lifestyle therapies are now available and new ones are on the horizon, several challenges persist that limit their widespread implementation. Firstly, the concept of obesity as a “disease” remains controversial among many health care workers.

People with obesity are often viewed as lacking willpower or self-control and having psychological problems that limit their ability to restrict food intake. A prevailing view is that simply eating less and exercising more will transform the person with obesity into a healthy person whose weight is normal. Source: Times of India