China has gradually entered an aging society, and many elderly patients cannot eat because of diseases, resulting a sharp decline in the quality of life. Percutaneous endoscopic gastrostomy (PEG) has irreplaceable advantages for the supply of nutrients. The Geriatric Endoscopy Cooperative Group of Chinese Society of Digestive Endoscopology organized experts to jointly formulate this consensus through collective discussion and voting based on the latest research progress. This consensus contains 11 recommendations regarding PEG indications, contraindications, preoperative preparation, operation specification, complications etc.