Although most healthcare professionals agree that medication is the only real treatment for gout, addressing diet can help to prevent its development and possibly help ease symptoms, especially when it comes to weight issues and avoidance of alcohol. Observational data shows some dietary treatment to be effective, in particular healthy diets such as DASH and the Mediterranean diet. Gout usually presents with other comorbidities which benefit from a healthy diet. The author recommends that all gout patients should have a dietary assessment and then guidance on how diet can be improved.