Obesity is a chronic, multifactorial, and relapsing disease. This condition is the result of a complex interplay of biological, psychological, social, environmental, and genetic factors. Management in primary care requires a comprehensive, individualized, and interdisciplinary approach centered on the lived experiences of people living with obesity. Therapeutic patient education, early screening for complications, and addressing weight stigma are essential pillars. Pharmacological and surgical options can be valuable, but only as part of a structured, long-term care plan. The primary care physician plays a key role in rebuilding trust, supporting motivation for long-term behavioral changes, and coordinating care within an interdisciplinary network.