Postmenopausal women often experience weight gain due to hormonal changes, including a decline in estrogen levels, which slows metabolism and alters fat distribution. This increase in body fat, particularly around the abdomen, raises the risk of several chronic conditions, including cardiovascular disease, type 2 diabetes, and certain cancers. Effective management of postmenopausal obesity involves a combination of regular physical activity, strength training to preserve muscle mass, and a nutrient-rich diet to support metabolism. Additionally, some women may benefit from hormone replacement therapy (HRT) to counteract hormonal changes, though its use should be discussed with a healthcare provider. Lifestyle interventions, such as improving diet and incorporating aerobic exercise, can also be pivotal in managing weight and reducing health risks.