Childhood obesity is consuming the nation. A problem identified at Ganado Medical Center was that obese children were not being identified or educated on lifestyle changes. Only 230 out of 737 children at the clinic had a height and weight documented and none of the charts had a documented BMI. The purpose of this DNP Capstone Project was to identify barriers to health care providers on the management of childhood obesity and to develop an evidence-based protocol to use in practice. The evidence-based protocol was developed and implemented for 60 days at Ganado Medical Center to determine if the screening and management of overweight and obese children improved. Three health care providers and ancillary staff members participated in the project. An in-service was conducted to introduce the protocol and train providers and ancillary staff on methods to properly identify and counsel overweight and obese children. Lifestyle Change for Children packets were developed and utilized as a guide for educating overweight and obese children and their parents. A total of 69% of children were identified as overweight or obese during the 60 days and 31% of children were not identified when in fact they were overweight or obese. Out of the 154 children seen during the first 30 days of the protocol, 59% of charts had a BMI graph completed. The 31-60 day chart review found of the 160 children seen, 66% of charts had a BMI graph completed. In addition, 83% of children seen during the entire project had a height and weight documented, whereas prior to the protocol only 31% of children seen in the clinic had a height and weight documented. Although health care providers and ancillary staff improved the identification and management of childhood obesity in the practice the lack of provider and ancillary staff motivation and commitment to the project was evident in the results. The results highlight the barriers to the screening and management of overweight and obese children in private practice and the need for more advanced training of health care providers and ancillary staff.