Example devices and techniques are disclosed for delivering
neurostimulation therapy transesophageally. An example device includes stimulation circuitry configured to generate a transesophageal stimulation
signal. The example device includes memory configured to store stimulation parameters that at least partially define the transesophageal stimulation
signal and
processing circuitry communicatively coupled to the memory, and the stimulation circuitry. The
processing circuitry is configured to determine a maximum transesophageal stimulation amplitude value. The
processing circuitry is configured to control the stimulation circuitry to generate the transesophageal stimulation
signal based at least in part on at least one of the stimulation parameters or the maximum transesophageal stimulation amplitude such that an amplitude of the transesophageal stimulation signal does not exceed the maximum transesophageal stimulation amplitude.