Weight management means lifestyle modification, behavioral therapy, pharmacotherapy and surgery. Drugs have wide ranging side effects and contraindication for its widespread use. Orlistat and sibutramine are the most popular in the present day context. Anti depressants especially fluoxetine is a valuable adjunct for therapy of obesity. There are many newer concepts in weight management and these are mainly hormonal and receptor based, thereby reducing the uncalled adverse effects of drugs like orlistat and sibutramine. Anti-obesity vaccine, an immunotherapy to be looked out for.