Obesity is a global epidemic with significant health risks. Recent advances in medical weight management include FDA-approved drugs like Metreleptin, Setmelanotide, and others targeting non-syndromic obesity. These medications, including orlistat, phentermine/topiramate, naltrexone/bupropion, liraglutide, and semaglutide, act to reduce appetite and increase satiety, improving weight and metabolic parameters. Tirzepatide, a promising drug, is under FDA review. The future of obesity treatment may lie in precision medicine and novel drugs with potent mechanisms of action.