Parents, children and practitioners alike should understand that the treatment of obesity is a long-term process. However, setting short-term goals will help to provide focus and direction to the treatment. The major goal is to reduce the health risks associated with obesity, and ultimately to equip the child with the skills they need to manage their weight in adulthood. Any treatment plan should aim for permanent changes, and the steps taken should be small and gradual. A reward system (non-food based) may help to motivate children to achieve their goals and will act as a marker of accomplishment.