Abstract: Percutaneous gastrostomy is a minimally invasive surgical procedure designed for patients who require long-term nutritional support but cannot ingest food orally. Computed tomography (CT)-guided percutaneous gastrostomy, leveraging the high-density resolution and multi-planar reconstruction capabilities of CT imaging, enables clear visualization of the anatomical relation-ships between the stomach and adjacent structures. This technique facilitates precise planning of puncture pathways, minimizes injury to surrounding blood vessels and organs, reduces surgical risks, and lowers complication rates. As a result, it has become the mainstream approach in clinical practice. The Chinese College of Interventionalists of Chinese Medical Doctor Association has organized multidisciplinary experts to jointly develop the Expert Consensus on CT-guided Percutaneous Gastrostomy (2025 Edition). This consensus synthesizes the latest clinical research evidence and practical experi-ences from both domestic and international sources, aiming to standardize CT-guided percutaneous gastrostomy techniques, provide clinicians with systematic, comprehensive, and authoritative guidance, and enhance procedural efficacy and safety.