Objective: Obesity has emerged as a pressing global and national concern, with a disproportionate impact on women's health. It is associated with a myriad of adverse outcomes, including polycystic ovarian syndrome, infertility, gestational diabetes mellitus, miscarriages, birth defects and so on. Despite its prevalence in clinical settings, the effective management of obesity remains a formidable challenge, emphasizing the urgent need for enhanced interventions tailored to Indian women.

Design: A set of 14 pivotal clinical enquiries was devised by conducting a literature search. The quality of evidence and consensus statements was evaluated using of the GRADE approach. The objective was to gather consensus from a pool of experts regarding the statements, utilizing the Delphi methodology.

Results: This consensus paper is an initiative by the Indian Society of Assisted Reproduction (ISAR), and it aims to provide evidence-based and pragmatic clinical insights to optimize obesity management and an easy-to-use algorithm specifically tailored for Obstetricians and Gynaecologists (O&G) in India.

Conclusion: The proposed algorithm could help individualize obesity management, ultimately improving health outcomes and quality of life for Indian women seeking gynaecological care.

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