Childhood obesity continues to be one of the most refractory and resistant problems encountered by children, their families, and helping professionals. Despite this challenge, however, new information regarding the treatment of this problem has not been forthcoming in the family counseling literature. To rekindle clinical interest and discussion, this background article provides a comprehensive review of the literature and addresses the presumed influence of family members in relation to childhood obesity. Directions for future family counseling research into childhood obesity are also suggested.