Endoscopic Sleeve Gastroplasty (ESG)
Discover How ESG Procedure Promotes Long-Term Weight Loss, What Recovery Involves, And What To Expect Throughout Your Journey
Procedure:
Endoscopic Sleeve Gastroplasty
AKA:
Incisionless Weight Loss Surgery • Non-Surgical Gastric Sleeve
Starting Cost:
$14,500
Synopsis of Surgery:
A minimally invasive endoscopic procedure that uses internal sutures to reduce stomach volume and help patients feel full sooner.
Anesthesia:
General
Procedure Time:
60–90 minutes
Take Off Work:
2–5 Days
Before Resuming Physical Exercise:
2–4 Weeks
Aftercare Program:
2-year aftercare Included
Benefits
Surgery Steps
Before & After
Cost
Recovery
FAQs
What is Endoscopic Sleeve Gastroplasty (ESG)?
Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, incisionless weight loss procedure that reduces the size of the stomach using internal sutures placed through an endoscope inserted through the mouth. Unlike gastric sleeve surgery, ESG does not require any external incisions or removal of the stomach. By creating a smaller stomach, patients feel full with less food, helping reduce calorie intake and support long-term weight loss. ESG is performed as an outpatient procedure and offers a shorter recovery compared to traditional bariatric surgery.
Is ESG Right For Me?
You may be a good candidate for ESG if you:
- Have a BMI of 30 or higher and have struggled to lose weight through diet and exercise.
- Want an effective weight loss solution without surgery or external incisions.
- Are not ready for or do not qualify for bariatric surgery.
- Are looking for a shorter recovery and less downtime.
- Are committed to making long-term lifestyle and dietary changes.
- Want a procedure that preserves your stomach anatomy without permanently removing any portion of the stomach.
How Does ESG Help You Lose Weight?
Endoscopic Sleeve Gastroplasty (ESG) promotes weight loss by reducing the size of your stomach without surgery or external incisions. By creating a smaller, sleeve-shaped stomach using internal sutures, ESG helps you feel full sooner, eat smaller portions, and stay satisfied for longer after meals.
1. Smaller Stomach, Smaller Meals
Internal sutures reduce the size of the stomach, limiting how much food you can comfortably eat at one time.
2. Feel Full Sooner, Stay Full Longer
By reducing the size of the stomach and slowing how quickly it empties, ESG helps you feel satisfied after smaller meals and keeps you feeling full for longer, making it easier to reduce portions and avoid unnecessary snacking.
3. Reduced Calorie Absorption
Eating smaller portions naturally reduces your daily calorie intake, supporting gradual and sustainable weight loss.
ESG vs. Gastric Sleeve Surgery
Both Gastric Sleeve Surgery and Endoscopic Sleeve Gastroplasty (ESG) reduce the size of the stomach to help you eat less and lose weight. The right option depends on your BMI, weight loss goals, medical history, and personal preferences.
Choose Gastric Sleeve Surgery If...
Gastric sleeve surgery is often the better option for patients with a higher BMI or those seeking the greatest possible weight loss. During the procedure, approximately 75–80% of the stomach is permanently removed, creating a smaller stomach that also reduces hunger hormones. While recovery is longer than ESG, gastric sleeve surgery typically produces greater and more durable weight loss, making it the gold standard for bariatric surgery.
Choose ESG If...
ESG may be a better choice if you're looking for an incisionless, minimally invasive weight loss procedure with a shorter recovery. Instead of removing part of the stomach, ESG uses internal sutures to reduce stomach size while preserving your natural anatomy. It is often recommended for patients with a BMI of 30–40 who want significant weight loss but are not ready for or do not qualify for bariatric surgery.
Not Sure Which Procedure Is Right for You?
During your consultation, our experienced bariatric surgeons will evaluate your health, weight loss goals, and lifestyle to recommend the treatment that offers the safest and most effective long-term results for you.
Benefits of Endoscopic Sleeve Gastroplasty (ESG)
No External Incisions
ESG is performed entirely through the mouth using an endoscope, leaving no visible scars.
Feel Full with Less Food
By reducing the size of the stomach, ESG helps you feel satisfied sooner and stay full longer.
Effective Weight Loss
ESG can help patients achieve significant weight loss when combined with healthy eating habits and regular physical activity.
Preserves Your Stomach
Unlike gastric sleeve surgery, no part of the stomach is removed, preserving your natural anatomy.
Improves Obesity-Related Health Conditions
As weight is lost, many patients experience improvements in conditions such as type 2 diabetes, high blood pressure, sleep apnea, joint pain, and overall quality of life.
Shorter Recovery
Most patients return to work and normal daily activities within just a few days, with less downtime than traditional bariatric surgery.
Lower Risk Than Traditional Surgery
Because ESG does not involve surgical incisions or stomach removal, it generally offers a lower risk of complications and a quicker recovery.
Supports Better Overall Health
Losing weight after ESG may improve obesity-related conditions such as type 2 diabetes, high blood pressure, sleep apnea, and joint pain.
Improved Quality of Life
Many patients experience increased energy, improved mobility, greater confidence, and an improved overall quality of life following successful weight loss.
Meet Your ESG Surgeon
Meet Dr. Gary Gamme
Dr. Gamme is a bariatric surgeon specializing in Endoscopic Sleeve Gastroplasty (ESG), an incisionless weight loss procedure that offers an effective alternative to traditional bariatric surgery. Using advanced endoscopic techniques, he helps patients achieve significant weight loss with a shorter recovery and no external scars.
At Clinic360, Dr. Gamme works closely with each patient to determine whether ESG is the right treatment for their goals. Through personalized care and comprehensive aftercare, he is committed to helping patients achieve lasting weight loss and improved overall health.
ESG Journey at Clinic 360
How Endoscopic Sleeve Gastroplasty (ESG) is Performed
Step 1 : General Anesthesia
Step 2. Insert the Endoscope
Step 3. Place Internal Sutures
Step 4. Reduce Stomach Size
Step 5. Recovery Begins
Considering Weight Loss Procedure?
Learn whether ESG is right for your goals. Discuss expected results, recovery, and provide a personalized surgical plan and quote.
Expected ESG Results
ESG helps patients achieve meaningful, long-term weight loss by reducing stomach capacity and supporting healthier eating habits. On average, patients can expect to lose approximately 15–20% of their total body weight, or up to 50–60% of their excess weight, within 12–18 months when combined with proper nutrition, regular exercise, and ongoing aftercare.
In addition to weight loss, many patients experience improvements in obesity-related conditions such as type 2 diabetes, high blood pressure, sleep apnea, and joint pain, leading to better overall health and quality of life.
Recovery After ESG
Most patients experience mild nausea, cramping, or abdominal discomfort during the first few days after ESG, which gradually improves with rest and medication. Since there are no external incisions, recovery is typically faster than traditional bariatric surgery. You'll begin with a liquid diet before progressing to soft foods and eventually regular meals under the guidance of your bariatric team. Most patients return to work within 3–5 days and can resume regular exercise after 2–4 weeks.
ESG Risks
Endoscopic Sleeve Gastroplasty is a safe and minimally invasive procedure when performed by an experienced bariatric surgeon. As with any medical procedure, there are potential risks, including nausea, abdominal pain, bleeding, infection, temporary acid reflux, or, in rare cases, injury to the stomach. Your surgeon will discuss these risks with you and provide detailed instructions to help ensure a safe recovery and successful outcome.
Before & After
Explore real before-and-after results from weight loss patients at Clinic 360 and see the transformations achieved through personalized care.
How Much Does an ESG Procedure Cost?
The cost of Endoscopic Sleeve Gastroplasty (ESG) starts at $16,000 and includes your procedure as well as an ESG Aftercare Program. During your consultation, we'll review your treatment plan, explain what's included, and answer any questions about the procedure and recovery.
Endoscopic Sleeve Gastroplasty (ESG): From $16,000
Flexible financing options are available to help you spread the cost of your procedure over time.
Endoscopic Sleeve Gastroplasty (ESG)FAQs
What is ESG?
Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, incisionless weight loss procedure that reduces the size of the stomach using internal sutures placed through an endoscope inserted through the mouth.
How much weight can I expect to lose?
Most patients lose approximately 15–20% of their total body weight, or up to 50–60% of their excess weight, within 12–18 months when combined with healthy lifestyle changes and ongoing aftercare.
How is ESG different from gastric sleeve surgery?
Unlike gastric sleeve surgery, ESG does not require external incisions or removal of any part of the stomach. Instead, internal sutures are used to reduce stomach size, resulting in a shorter recovery and a less invasive procedure.
Am I a candidate for ESG?
ESG may be a good option if you have a BMI of 30 or higher, have struggled with weight loss through diet and exercise, and are looking for an effective alternative to bariatric surgery.
Is ESG permanent?
The sutures are intended to provide long-lasting stomach reduction. Maintaining your results depends on following healthy eating habits, staying active, and participating in your aftercare program.
How long does the procedure take?
The ESG procedure typically takes 60–90 minutes and is performed as an outpatient procedure, allowing most patients to return home the same day.
Is ESG painful?
Most patients experience mild nausea, cramping, or abdominal discomfort for the first few days after the procedure. Symptoms are usually well managed with medication and improve quickly.
When can I return to work?
Most patients return to work and normal daily activities within 3–5 days, depending on the type of work they do and how they are feeling.
Will I have any scars?
No. ESG is performed entirely through the mouth using an endoscope, so there are no external incisions or visible scars.
Can I become pregnant after ESG?
Yes. ESG does not affect fertility or your ability to become pregnant. However, because your body needs time to heal and stabilize during the period of rapid weight loss, it is generally recommended to wait at least 12–18 months before becoming pregnant. If you are planning to start a family, discuss your timeline with your bariatric team so we can help you achieve the healthiest outcome for both you and your future baby.
Is ESG Reversible?
ESG is considered a long-lasting procedure, but unlike gastric sleeve surgery, no part of the stomach is removed. Because the stomach remains intact, the procedure is technically more reversible or revisable than a gastric sleeve. However, ESG is intended to be a permanent weight loss solution and should not be viewed as a temporary procedure. Maintaining your results depends on adopting healthy eating habits, regular physical activity, and ongoing follow-up care.