Objective: Client-centred counselling, a collaborative approach, aims at reducing ambivalence and enhancing behavioural change for weight loss. This systematic review assessed the effectiveness of client-centred counselling for weight management in Black African women with overweight and obesity in high-income countries, identifying culturally tailored strategies and theoretical underpinnings. Methods and Measures: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, with nine databases searched from 1970 to June 2022. Results: Twenty-two studies were included, 91% (