For February 2023, the American Academy of Pediatrics published Clinical Guidelines for the Evaluation and Treatment of Children and Adolescents with Obesity.   As dietitians who work with children and adolescents who struggle with their relationship with food, body and well-being, we had to talk about this.   Trigger warning: We do use the "O" words when discussing the guidelines and the research they are based upon. We also discuss weight loss and weight gain as it relates to the new guidelines.