This clinical trial, sponsored by Benha University, aims to address a significant challenge in anesthetic management for morbidly obese patients (BMI ≥ 40 kg/m²) undergoing elective surgery. The focus on optimizing inspiratory pressure during facemask ventilation could lead to improved patient outcomes by reducing the risk of gastric insufflation, a common complication in this demographic. The use of ultrasound for real-time monitoring positions this trial at the intersection of anesthesiology and advanced imaging technology, potentially opening avenues for partnerships with medical device manufacturers and enhancing the competitive landscape in anesthesia management solutions. The trial's outcomes may also inform clinical guidelines, influencing market dynamics in anesthesia practices and training.