Gastric balloon application's effectiveness and long-term sustainability are fundamentally dependent on the patient's commitment to lifestyle modification. Without a sustained reduction in caloric intake and the integration of regular physical activity into their daily routine post-procedure, achieving and maintaining desired weight loss outcomes becomes challenging, even if initial targets are met. Consequently, endoscopic balloon treatments yield the most successful results when overseen by experienced physicians and undertaken by patients who are genuinely dedicated to their weight loss journey.