Obstructive Sleep Apnea (OSA) in pediatric obesity presents a concerning health issue characterized by recurring interruptions in breathing during sleep. Children affected by obesity often experience an increased risk of developing OSA due to excess fatty tissue in the throat and neck region, leading to airway constriction. This condition disrupts normal breathing patterns during sleep, causing brief pauses in breathing, snoring, and fragmented sleep cycles. The accumulation of fat deposits in the upper airway narrows the passage, obstructing airflow and resulting in temporary breathing cessations. These interruptions trigger a cascade of effects, including decreased oxygen levels, disturbed sleep, and potential long-term complications. Children with OSA may exhibit daytime fatigue, irritability, difficulty concentrating, and impaired cognitive function due to inadequate restorative sleep. Early identification and management of pediatric obesity-related OSA are crucial to mitigate its impact on a child's health. Lifestyle modifications focusing on healthy diet choices, regular exercise, and weight management play a pivotal role in addressing obesity-associated OSA. Additionally, treatments may involve the use of continuous positive airway pressure (CPAP) devices, oral appliances, or in severe cases, surgical intervention to alleviate airway obstruction. Monitoring and addressing OSA in pediatric obesity are imperative to prevent potential complications such as cardiovascular issues, behavioral problems, and developmental delays. Collaborative efforts involving healthcare professionals, caregivers, and behavioral interventions are essential in managing this multifaceted health concern for the well-being of affected children.