An important first step in addressing any public health crisis is raising public awareness. However, getting everyone on board to help solve the underlying causes of that crisis is a daunting task. The childhood obesity epidemic poses such a challenge, particularly in terms of how to best engage and assist principals and other school leaders in creating healthier learning environments. With so much emphasis on raising test scores, retaining good teachers, and managing squeezed budgets, how can a principal be expected to make headway with school wellness to improve nutrition and physical activity opportunities for all students? Indeed, competition from other pressing issues was cited as one of the biggest obstacles to creating healthier schools. This article describes how school leadership and teamwork make a difference in combating childhood obesity. (Contains 3 online resources.)