Weight-loss surgery should only be used in the most severely obese of children, and only then with extreme caution, says a Seminar on childhood obesity published Online First and in an upcoming Lancet. Lifestyle interventions such as diet and exercise should always be first-line therapy, with drug treatment used rarely and weight-loss surgery a last resort. The Seminar is written by Dr Sue Y. S. Kimm, University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, NM, USA; Professor Debbie Lawlor, University of Bristol, UK; and Dr Joan C... 
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