Endoscopic sleeve gastroplasty is a minimally invasive weight-loss procedure that reduces the size of the stomach using an endoscope, a flexible tube with a camera. During the procedure, a doctor places sutures in the stomach to create a smaller, sleeve-like shape, which limits food intake and promotes a feeling of fullness. This technique is performed under sedation and does not require any surgical incisions. Patients typically experience a shorter recovery time compared to traditional weight-loss surgeries, making it an appealing option for those seeking to lose weight without major surgery.