Background: The authors have been using the new saline-filled BioEnterics intragastric balloon (BIB) since 1995. Methods: By now, more than 650 BIBs have been implanted on our Unit. Results: Because of close collaboration between the engineers and the users, and after several modifications, an easy-to-use balloon is available, In addition, we have developed 3 instruments which provide easy and quick removal of the BIB. Conclusion:The device, supported by a competent motivated team, is another modality available for weight loss.