Gastrostomy feeding tube placement is done in two basic ways. In the first, open gastrostomy tube placement is generally performed under general anesthesia. This procedure is often done at the time of another major operation in anticipation of postoperative need for emptying (decompressing) the stomach, or for future feeding. The second way, called percutaneous endoscopic gastrostomy (PEG) tube placement is usually done with sedation given in the vein and a local anesthetic applied to the back of the mouth. The procedure is done with the guidance of an endoscope placed through the patient’s mouth into their stomach.