Background: Obesity is defined as a is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems. It is the one of the most rampantly growing condition of the modern day. Accumulation of body fat due to various reasons has made obesity an epidemic. Objective: Review the available literature to assess the importance of various types of history, physiological basis of various managements and effect of exercise in the management of obesity. Methodology: Published literature focusing the evaluation and physiotherapeutic management of obesity was reviewed and commented. Conclusion: Exercise plays a significant role in metabolizing fat and thereby reducing obesity.