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In 2004, the Malaysian Clinical Practice Guideline for Management of Obesity was published to assist health practitioners in the management of the obese population. This guidelines, based on gathered evidence published up to 2004, defined weight classifications according to BMI suited to the Malaysian population. The guideline also discussed methods of assessing obesity in adults. Recommendations with respect to treatment approach, encompassing lifestyle, dietary, pharmacological and surgical management of obesity in adults, and management approach in children and adolescent were also discussed in detail in the guidelines. The following article summarizes the recommendations that were made in the 2004 guidelines.