Pediatric obesity on patellofemoral joint presents a multifaceted concern, impacting various aspects of a child's health, including musculoskeletal issues like the patellofemoral joint. This joint, crucial for knee movement, can suffer under the weight and strain of excess body mass in obese children. The increased load due to obesity often induces malalignment or altered mechanics in the patellofemoral joint, leading to conditions like patellofemoral pain syndrome or chondromalacia patellae. This excessive stress can result in inflammation, pain, and limited mobility, affecting the child's ability to engage in physical activities crucial for their development. Additionally, pediatric obesity can exacerbate existing joint problems, potentially accelerating degenerative changes within the patellofemoral joint. Over time, this may lead to osteoarthritis, further compromising joint function and causing persistent discomfort. Addressing pediatric obesity involves a multifaceted approach, including lifestyle modifications, nutrition education, physical activity promotion, and possibly medical intervention. Timely intervention and holistic management strategies are pivotal in mitigating the impact of obesity on the patellofemoral joint, promoting healthier growth, and preventing long-term musculoskeletal complications in children.