Background <p>Postoperative strictures are a common complication following metabolic bariatric surgery (MBS), often requiring endoscopic intervention. Traditional endoscopic management, such as pneumatic balloon dilation, has demonstrated high success rates but may necessitate multiple sessions and carries risks of complications. BougieCap-assisted dilation has emerged as a novel approach that enables progressive dilation under direct visualization, potentially improving procedural control and clinical outcomes. This study aimed to evaluate the efficacy and safety of BougieCap-assisted dilation in a high-volume MBS center.</p> Methods <p>A retrospective analysis was conducted, including patients with postoperative strictures exclusively treated with BougieCap-assisted dilation. Demographic variables, type of surgery (primary vs. revision), BougieCap size, number of sessions required, and clinical resolution were assessed. Statistical comparisons were performed to evaluate the association between dilation parameters and clinical outcomes.</p> Results <p>A total of 14 patients were included, with a mean age of 40.8 ± 12.3&#xa0;years and a BMI of 34.6 ± 7.7&#xa0;kg/m². The mean number of sessions required for stricture resolution was 1.3 ± 0.8, with no significant difference between primary and revision procedures (<i>p</i> = 1.0). BougieCap size did not significantly impact the number of dilation sessions required (<i>p</i> = 0.62). Complete resolution of the stricture was achieved in all cases, with symptom resolution confirmed at follow-up.</p> Conclusions <p>BougieCap-assisted dilation is a safe and effective technique for managing postoperative strictures after MBS, providing precise control and direct visualization. While preliminary results are promising, comparative studies are necessary to determine the relative efficacy and safety of BougieCap-assisted dilation compared to conventional techniques. These findings warrant further investigation in prospective comparative studies.&#xa0;</p>