Endoscopic sleeve gastroplasty (ESG) is a minimally invasive, incisionless procedure performed endoscopically (through the mouth) to reduce the size of the stomach. Patients typically achieve significant and sustainable weight loss, with an average of 17-20% total body weight loss observed by the end of the first year. This procedure not only contributes to improved aesthetic appearance but also plays a crucial role in preventing numerous serious health conditions associated with obesity.