Percutaneous endoscopic gastrostomy (PEG) is a method of placing a tube into the stomach percutaneously, aided by endoscopy. This technique was first described by Gauderer in 1980.[1] Different variations of the technique include the pull (Ponsky), push (Sachs-Vine), introducer (Russell), and Versa (T-fastener) methods. Of these, the pull method is the most commonly used and is described in this article. PEG tube placement is one of the most common endoscopic procedures performed today, and an estimated 100,000-125,000 are performed annually in the United States.