Abstract:Obesity and its related complications were once considered a disease of China. The recent impressive socioeconomic development, change in infrastructure and food supply have set the stage for this epidemic in China. People pay more attention to obesity and the way to lose weight is gradually evolving with the development of science and technology. Diet, exercise, medications and bariatric have been the cornerstone of management for overweight and obese patients which are flawed, so in recent years, the application of endoscopic sleeve gastroplasty gradually increased. In this paper,indications and contraindications,surgical methods,surgical results and complications were summarized.