The intragastric balloon is a proposed technology for enabling obese and superobese patients to lose weight. The balloon is biocompatible and is endoscopically placed in and removed from the stomach, where it remains for approximately six months causing a feeling of fullness, which, in theory, leads to lower food intake. The aim of this review is to assess the efficacy and safety of the BioEnterics Intragastric Balloon (BIB) for achieving weight loss in obese or overweight patients.