For many years, LSG has been described using terms such as “new,” “experimental, “non-standardized,” or “not yet validated by time.” However, LSG has now been performed for over two decades and has remained the most commonly performed bariatric procedure worldwide for the past 10 years. In light of this, the Sixth Consensus Conference concluded that these outdated terms should no longer be associated with LSG. Instead, attention should shift toward addressing long-term challenges, such as GERD, optimizing revisional strategies, and exploring new techniques that build upon the LSG framework. According to this consensus from 61 international experts, LSG has emerged over the past 25 years as a safe, effective, and well-established bariatric procedure. Both preoperative evaluation and intraoperative techniques have become standardized. In clinical practice, focus should remain on minimizing GERD and identifying optimal revisional strategies following LSG.