Background: Electroacupuncture (EA) has been used in clinical practice for weight reduction (1) and mindfulness meditation (MM) can potentially change eating behaviours in weight-loss management (2). However, there are no published studies on the use of the combined therapy (EA+MM). This study aims to clinically evaluate the add-on effect of EA with MM for weight management. Methods: This is a 3-armed randomised sham controlled trial. We target a sample size of 165 adults aged 18-60, with BMI between 25 – 39.99 and no severe medical complications. This trial consists of a 2-week run-in period, 12 weekly treatment sessions and an 8 week follow-up period. Participants will be randomised into one of the three groups: i) EA + MM group, ii) sham EA + MM group, and iii) EA only group. EA treatment involves in needling 8 acupuncture points and allow for 30 minutes electrostimulation with dense-disperse wave at a frequency of 33-100 Hz and 48mA peak current intensity. Sham EA represents needling to 8 non-acupuncture points which is approximately 1 cm away from the acupuncture points, with sham electrosimulation which has no actual current going through the body but presents the same as the real electrostimulation . MM involves in self-practising a 10 mins pre-recorded MM instruction after EA or sham EA treatment, daily practice is also required. Outcome measurements, including body weight, BMI, Waist and hip ratio, psychological influence to eating behaviour and weight related quality of life, will be measured at baseline, every 3 weeks during treatment period and 3 more during follow-up period. Conclusion: This study provides a new approach for weight management with multi-disciplinary components. We can assess the add-on effect of these co-interventions and the feasibility of the treatment protocol by evaluating the change of weight-related measurements.