This article discusses a case of a challenging complication that occurred during an endoscopic sleeve gastroplasty (ESG) procedure. The patient, a 64-year-old woman with no relevant medical history, underwent ESG using a suture device called OverStitch. During the procedure, the Helix component of the device became stuck in the gastric wall. After unsuccessful attempts to remove it, a pre-cut device designed for another procedure was used to cut closer to the Helix and successfully unlock it. The article highlights the potential dangers of this complication and the successful management of the situation using an off-label use of a different device. [Extracted from the article]