The purpose of this report is to provide a detailed review of available evidence on the nutritional status of adolescent boys and girls as well as the primary determinants of adolescent malnutrition in Pakistan. We synthesize this information to better identify and prioritize critical data gaps and shape recommendations for future policies and programs. The evidence generated here will be used to develop a report outlining evidence requirements, policy options, and interventions to improve adolescent nutrition in Pakistan. The current report begins by outlining the importance of nutrition during adolescence and setting the global context on goals, strategies, and guidelines for adolescent nutrition. The authors then present patterns and trends in nutritional status and the primary determinants of adolescent malnutrition. Before presenting the findings in Pakistan, an overview and the global context is provided at the beginning of the sections on anthropometry (2.1.1); micronutrient status, anemia, and night blindness (2.2.1); determinants of malnutrition (3.1.1); and dietary intake (3.2.1). The authors conclude by summarizing the findings, identifying knowledge gaps, and discussing implications for policies and programs.