Gastrostomy refers to a surgical procedure involving the placement of a gastronomy tube (G-tube) into the stomach for direct nutritional support, performed if the patient is unable to eat enough, unable to swallow, etc. This surgery is performed under local anesthesia or moderate sedation. In the laparoscopic technique, two small incisions are made in the belly. Through one, a laparoscope is inserted and through the other, the G-tube. Open surgery involves larger incisions. In the PEG (percutaneous Endoscopic gastronomy) technique, an endoscope is inserted through the mouth to guide the G-tube placement.