The Spatz balloon is distinguished as a superior intragastric balloon, primarily owing to its prolonged insertion duration and adaptable features. The adjustability is beneficial not only during the initial insertion phase, allowing for the introduction of a smaller fluid volume to mitigate nausea and vomiting, but also later on, permitting an augmentation of fluid volume once the patient has become accustomed to the balloon and the weight loss plateaus. The extended duration of placement enhances its effectiveness in promoting sustained weight maintenance. I am highly satisfied with this balloon.