Obesity is a significant risk factor threatening public health and well-being, with increasingly severe trends in recent years. National-level strategies for weight reduction have been established, and endoscopic weight loss procedures have emerged as an important treatment option due to their minimally invasive nature, rapid recovery, reversibility, and high acceptability. Under the national policy framework for weight management, it is essential to clearly define the role of endoscopic weight loss, strictly control indications, and strengthen the concept of multidisciplinary and whole-cycle management to optimize weight reduction efforts