Several studies have shown that childhood obesity has been connected to dyslipidemia, which is recognized as a significant risk for atherosclerotic disease. The rationale for management of dyslipidemia in childhood is strong: to limit the development of atherosclerosis, to establish lifelong lifestyle habits, and to prevent the acquisition of additional risk factors. The aim of the study is to present the menagement of dyslipidemia in our pediatric primary health care. Methods: Our study included 45 children with BMI>95th percentile selected from the local schoolchildren who were following regular continuing health care (aged 8-18 years) and who had no family history of CHD. Children et high risk for obesity-related cardiovascular disease received family-based individualized treatment. After causes of secondary dyslipidemia had been ruled out or treated, dietary therapy was the primary intervention. Ehercises were also included. The diets prescribed were those used in adults, energy intake levels were selected to support growth and development, and to reach or maintain desirable body weight. There was no pediatric patient 10 years of age or older with LDL-cholesterol, wich is the major determinant of atherosclerotic process beginning in childhood that had remained very high despite vigorous lifestyle intervention. Thats why pharmacotherapy was not considered. Conclusion: In order toreduce the risk of cardiovascular disease it is very important for the practitioner to undertake effective treatment of dyslipidemia in childhood.