Obesity in adolescents represents one of the biggest global health problems in developed countries and has a negative impact on their physical and psychological status. Acupuncture is a non-invasive approach that could be used in the medical field. The aim of the study was to compare the effects of manual and electrical acupuncture on obesity control in adolescents. Methods: Forty obese adolescents of both genders, whose ages ranged from 15 to 18 years, were assigned randomly into two equal groups; manual acupuncture group (MAG) and electrical acupuncture group (EAG). Both groups received selected physical therapy exercises and diet therapy. In addition, MAG received manual acupuncture and EAG received electrical acupuncture. Body-mass index (BMI), body fat percentage, and waist/hip ratio (WHR) were measured before and after three successive months of intervention. Results: There were non-significant differences between both groups in pretreatment in all measuring variables (p>0.05). Within-group comparison revealed significant decrease in BMI and body fat percentage (p<0.05) and a non-significant decrease in WHR (p>0.05). Post-treatment comparison revealed a significant difference between groups in all measured variables in favor of EAG as compared to MAG. Conclusion: Both manual and electrical acupuncture could be used in conjunction with diet and physical therapy exercises to reduce obesity, but electrical acupuncture is more effective than manual acupuncture on controlling obesity in adolescents.