Endoscopic Sleeve
Gastroplasty (ESG)

We want you to fully understand what this procedure entails to help you make a solid decision as to which procedure best meets your goals.

You are not alone, we are always here to answer your questions.  We will be there throughout the process and after to make certain that you feel well and healthy.

What is ESG?

The Endoscopic Sleeve Gastroplasty (ESG or EndoSleeve) is an incisionless, minimally invasive endoscopic therapy that involves remodeling the stomach by placing full-thickness sutures.

How is Endoscopic Sleeve Gastroplasty performed?

After placing four to six endoscopic sutures in a specific pattern, the stomach will be reduced and shortened to approximately 60 to 70% of its original capacity.

How does Endoscopic Sleeve Gastroplasty work?

The stomach remodeling will create a smaller stomach and will slow down the gastric motility. The result is that you will feel full faster and for a longer period of time, therefore you will eat less and LOSE WEIGHT!

Where is Endoscopic Sleeve Gastroplasty performed?

The procedure is done in an endoscopy suite under general anesthesia and takes 40-60 minutes to complete

What happens after Endoscopic Sleeve Gastroplasty?

After the procedure you will go to the recovery area where you will be monitored for 2 to 3 hours and then you can go home the same day! However, if you feel more comfortable you can be admitted for observation overnight and discharged home the next day.

Is Endoscopic Sleeve Gastroplasty safe?

ESG is SAFE. The risk of adverse events is very low (<1%) and these events are usually minor or uncomplicated. No deaths have been reported.

How effective is Endoscopic Sleeve Gastroplasty?

ESG is EFFECTIVE. On average, patients lose 20% of their total weight loss, but the majority of patients lose more weight when following the Be Better post-ESG plan.

How does Endoscopic Sleeve Gastroplasty compare to Laparoscopic Sleeve Gastrectomy?

To view all data in this chart scroll to the right.

Endoscopic Sleeve Gastroplasty

Laparoscopic Sleeve

Type of Procedure

Non-surgical, endoscopic


Is Hospitalization Required?

No; same-day procedure

Yes; 1-3 days

Return to Work

2-3 days

1-2 weeks

Average Excess Weight Loss



Average Total Body Weight Loss



Major Complications

Rare (<1%)

2-6% (0.11% mortality)




Covered By Insurance?


Yes (if eligible)

Endoscopic Sleeve Gastroplasty Pricing

Base ESG Package

Base ESG package $10,000 (USA) $6,000 (MX)

Initial consultation

Comprehensive medical and nutritional assessment

ESG procedure (including equipment, anesthesia, physician and facility fees)

Be Better post-ESG customized nutritional plan by a bariatric dietitian for 1 year (including unlimited communication via email)

 Physician follow up on month: 1,3,6,9 and 12 (including unlimited communication via telephone, video call and/or email)

Enhanced ESG Package

Base ESG package plus:

 Be Better back to physical activity and exercise program by a certified coach for 1 year: $500.00

90-day complication coverage insurance for up to $25,000: $510.00 (only applies in the USA)

Concierge ESG Package

Lodging and transportation arrangements: We facilitate reservations with our partnered providers.

*We do not charge for accommodations or transportation services

* We do not charge a commission over the mentioned services

* Our patients can always pick a hotel or transportation service of their choosing, ours is only a suggestion.

*Patients will pay directly to the provider of each service (hotel and/or transportation)


Take the first step in changing your life today.