This article discusses the most recent studies regarding the management of gastric varices.New case series and meta-analyses have increased our understanding of the endoscopic and endovascular treatment options for patients with gastric varices, including the use of cyanoacrylates, the potential increased utility of endoscopic ultrasound over conventional endoscopy and the emerging role of balloon-occluded retrograde transvenous obliteration.The management of gastric varices remains poorly defined. However, our increasing experience with endoscopic and endovascular treatment methods provides clinicians with therapeutic options to better manage this patient population.