Over the last decade, there’s been a major push for a healthier lifestyle among youth and great strides have been made towards education and prevention in weight management. However, weight stigma is an area in pediatrics that is not often talked about, and I believe it directly relates to why we continue to see rising numbers in childhood obesity. A recent American Academy of Pediatrics policy statement about stigma experienced by kids and teens with obesity explains that “as early as preschool, young children attribute negative characteristics and stereotypes to peers with larger body size.” It goes on to say that by the time a child has reach elementary school, negative weight based stereotypes have become “common”.  I found to be heart breaking as I see this every day working with kids. By the time I see patients at our clinic, this weight stigma has usually manifested in some form such as low self-esteem, emotional eating, resistance to participation in gym class or sports teams, and other behaviors affecting quality of life. The statement also highlighted research that found the way a healthcare professional in pediatrics addressed body weight with patients could lead to stigma and health care avoidance. As healthcare providers, it is our responsibility to evaluate and treat a condition such as a high body mass index without making patients feel stigmatized during the process. Currently, there isn’t enough literature to evaluate the most effective ways for health care professionals to address patients and their families about obesity. In my work, I approach this issue by focusing on a child’s health rather than weight. The focus should be on lifestyle habits and making changes as a family to help support the child. The emphasis is on small steps that can help achieve a healthier BMI. Small goals are set in our visits to help empower the child and family to take steps towards developing a healthier lifestyle. The focus on small sustainable goals will lead to a life long journey of health, reinforcing that the end goal is not a matter of size or a number on the scale. Another area that requires attention is the various aspects of a child’s life that is