Endoscopic bariatric surgery is an emerging discipline in the field of weight loss in recent years. With the advantages of less trauma, faster recovery, better reversibility, fewer complications, and higher cost performance, endoscopic bariatric surgery provides an alternative for the treatment of obese patients. The new solution is expected to be a parallel and complementary therapy to surgical bariatric metabolic surgery. Based on the existing clinical evidence-based medicine, Minimally Invasive Weight Loss Treatment Collaboration Group of Digestive Endoscopy Branch of Chinese Medical Association, Weight Loss Professional Committee of Gastroenterology Physician Branch of Chinese Medical Doctor Association, and National Clinical Research Center for Digestive Diseases (Beijing) organized relevant experts to discuss its indications, contraindications, technical operating specifications, perioperative management strategies, etc., and reach a consensus, aiming to provide reference and guidance for the standardized development of endoscopic weight loss technology and promote the development of bariatric discipline in China.