Gastric access for nutritional support can be accomplished by employing percutaneous and flexible endoscopic techniques. Between September 1, 1983 and March 1, 1985, 20 patients at the University of South Alabama Medical Center (USAMC) underwent percutaneous endoscopic gastrostomy (PEG). Retrospective analysis of this patient population revealed no periprocedure morbidity or mortality. All gastrostomy tubes were employed indefinitely and changed periodically commensurate with optimal care. This technique represents a useful addition to the general surgeon's armamentarium for gaining gastric access.