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Endoscopic Sleeve Gastroplasty

(ESG)

Endoscopic Sleeve Gastroplasty (ESG)

Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, non-surgical weight loss procedure designed for people seeking an alternative to traditional bariatric surgery. Using a flexible endoscope equipped with a suturing device, your doctor reduces the size of your stomach by placing stitches inside—without any external incisions. This creates a sleeve-like shape that limits how much you can eat and helps you feel full sooner.

Benefits of ESG

  • Non surgical– no surgical cuts or scars
  • Outpatient procedure – most patients go home the same day
  • Faster recovery – return to normal activities within a few days
  • Significant weight loss – studies show patients may lose 15–20% of their body weight within the first year
  • Improved health – many people experience better blood sugar control, lower blood pressure, and improved energy

Who is ESG for?

ESG may be an excellent option if you:

  • Have a body mass index (BMI) of 30 or higher
  • Have not achieved lasting weight loss with diet and exercise alone
  • Want a less invasive alternative to surgery
  • Are motivated to make lasting lifestyle changes

Cost & Coverage

ESG is not covered by insurance and is offered as a self-pay procedure. Please contact us for pricing and to learn about available payment options.

Frequently Asked Questions About ESG

How long is the recovery after ESG?

Most patients return to normal daily activities within 2–3 days. Some may experience temporary nausea, cramping, or a sore throat, which usually resolve quickly.

Will I have scars from ESG?

No. ESG is performed entirely through the mouth using an endoscope, so there are no external incisions or visible scars.

How much weight can I expect to lose?

On average, patients lose 15–20% of their total body weight within the first year. Long-term success depends on your commitment to healthy lifestyle changes.

Is ESG covered by insurance?

No. ESG is a self-pay procedure. Please contact us for pricing and payment options.

Who is not a candidate for ESG?

ESG may not be recommended for people with certain stomach conditions, prior stomach surgery, or those unable to commit to dietary and lifestyle changes. A consultation with our team will determine if it’s right for you.