Gastrostomy tube for feeding is one of the most common pediatric surgery procedures. The options for feeding tube placement into the stomach include an open gastrostomy tube placement, a laparoscopic gastrostomy tube placement, a percutaneous endoscopic gastrostomy (PEG), and a laparoscopic-assisted PEG placement. The choice of procedures depends on patient characteristics, anatomic considerations, and surgeon preference. An open Stamm gastrostomy involves a laparotomy and securing the stomach to the anterior abdominal wall with four sutures after having secured the feeding tube to the stomach with purse-string sutures. A PEG involves placing a feeding tube through the skin and into the stomach with the assistance of endoscopic intraluminal visualization of the stomach. It does not require a laparotomy, but also does not allow visualization of the tract or the peritoneal space while the feeding tube is being placed. PEG placement also does not provide suture fixation of the stomach to the anterior abdominal wall. Laparoscopic assisted gastrostomy tube placement provides visualization of the feeding tube and track as well as optional suture fixation of the stomach to the anterior abdominal wall.