Prior to considering intragastric balloon placement, a thorough medical evaluation is indispensable to identify any underlying conditions, such as adrenal or thyroid disorders, that may contribute to weight gain. This assessment includes an internal medicine consultation. If no pathological medical causes are identified, the patient may be deemed a candidate for endoscopic obesity treatment. A critical component of the initial evaluation is a psychiatric assessment to screen for eating disorders or other psychological conditions. The presence of compulsive eating behaviors, such as binge eating syndrome, significantly reduces the efficacy of all obesity interventions, including pharmacological, endoscopic, and surgical treatments. Therefore, addressing these underlying psychological issues is a prerequisite for successful treatment. Furthermore, the patient must demonstrate a strong commitment to achieving weight loss. Once these comprehensive medical and psychological criteria are met, the endoscopic treatment process, including procedural details and anticipated outcomes, can be discussed.