StomaphyX is a transoral device. StomaphyX is introduced into the body through the mouth. The procedure is performed under the visualization of an endoscope inserted down the central shaft of the StomaphyX. Once inside the gastric pouch, a small section of the stomach wall is suctioned up into the device and fastened with a suture-like fastener creating a fold similar to a pleat called a plication. As many as 10-20 plications may be created depending on the needs of the patient.