This video presents a detailed, step-by-step demonstration of percutaneous endoscopic gastrostomy (PEG) tube placement. The procedure is described from endoscope insertion to final tube fixation, emphasizing techniques for safe access, identification of the gastric site, and guidewire advancement. It highlights troubleshooting strategies such as the use of a finder needle when transillumination fails. Practical tips for novice endoscopists are also provided. The video underscores key safety considerations, including prevention of buried bumper syndrome and postoperative management protocols.