Abstract: Obesity has become a critical public-health issue compromising the health of Chinese residents, and in 2024 the National Health Commission issued the Implementation Plan for the “Weight-Management Year” Initiative, launching a three-year campaign that underscores the policy-level priority of weight management; however, given the multifactorial aetiology of obesity, single-modality treatments seldom achieve durable and clinically meaningful weight reduction. Objective: To present the first national consensus guiding the establishment of hospital-based multidisciplinary obesity centres in China. Guided by existing domestic obesity-management standards and informed by the “3+N” multidisciplinary model pioneered at the Third Affiliated Hospital of Sun Yat-sen University, an expert panel developed the evidence-based recommendations on centre structure, staffing, clinical pathways, quality indicators and resource allocation. Adoption of this standardised framework will facilitate the nationwide implementation of multidisciplinary weight-management services, enhance healthcare quality, safeguard patient safety, promote rational resource utilisation and ultimately contribute to the Healthy China strategic goals.