Families participating in the Shaping America's Youth (SAY) town meetings are asking pediatricians to provide consistent and accurate nutrition and physical activity information, deliver effective obesity-focused clinical care, and work in partnership with them to help in obesity prevention and treatment. With these requests from families, pediatricians and the health care community are presented with both a challenge and an opportunity. The challenge is to incorporate new knowledge, skills, and practice change into an already busy office. The opportunity is to partner with patients and families in new ways to achieve healthy nutrition and activity behaviors that support obesity prevention and treatment. Obesity is a chronic disease1 and, as such, is informed by the chronic disease model.2 The American Academy of Pediatrics (AAP) is helping pediatricians incorporate new knowledge, skills, and practice change through a variety of educational opportunities and materials to provide “quick, convenient access to the latest and best practice recommendations on obesity prevention, intervention, and treatment.”3 The Expert Committee recommendations for pediatric obesity, published in 2007, directed primary care providers to “universally assess children for obesity risk to improve early identification of elevated BMI, medical risks, and unhealthy eating and physical activity habits.”1 The committee recommended that providers calculate and plot BMI at least annually and assess the child's obesity risk with screening for current medical conditions and for future risks, and that they offer diet and physical activity behavioral guidelines to promote maintenance … Address correspondence to Sandra G. Hassink, MD, FAAP, Nemours Obesity Initiative, Alfred I. DuPont Hospital for Children, 1600 Rockland Rd, Wilmington, DE 19899. E-mail: shassink{at}nemours.org