The objective of this study is to assess the long term weight loss and weight loss journey of patients who received an Endoscopic Sleeve Gastroplasty (ESG) 5 or more years prior to enrollment.

Includes retrospective data collection and one prospective visit

Inclusion Criteria:

• Subject is ≥ 18 years of age at the time of the ESG procedure
• Subject with a BMI between 30 kg/m2 and 50 kg/m2, inclusive, at the time of the primary ESG procedure using Overstitch Endoscopic Suturing System
• Subject completed follow-up 1-year from the ESG procedure for weight loss management
• Subject completed or is eligible for follow-up 5-years from the ESG procedure for weight loss management (visit can be collected either retrospectively or prospectively)
• Subject has returned for a minimum of one annual follow-up at the treating site for weight loss management annually between two and four years from the procedure.
• Subject is willing to complete one prospective visit (5 year or 5+ year, as appropriate)
• Subject is able to read, understand, and sign a written Informed Consent Form to participate in the study

Exclusion Criteria:

• None

Study participants will be selected from weight loss or bariatric centers