Frequently asked.

ESG reduces the stomach's volume with sutures placed through the mouth using an endoscope. There are no external incisions and nothing is removed. Recovery is typically days rather than weeks, and published studies report 15 to 20% total body weight loss on average. Surgical sleeve gastrectomy generally produces more weight loss but involves incisions and a longer recovery.

Your surgeon considers your BMI, health conditions, previous procedures, goals, and preferences. We'll recommend the option that suits you, even if that means a less invasive procedure, a less expensive one, or none at all.

TORe is for people who had a gastric bypass or mini bypass and have regained weight. It tightens the stretched connection between the stomach pouch and intestine, endoscopically and without incisions. It is considered for people at least two years out from their bypass.

No. The balloon is removed after about six months. It's designed as a temporary tool while you build habits, and some patients later consider ESG or surgery.

SADI is a simpler version of the duodenal switch that uses one intestinal connection. Published literature reports the highest total body weight loss of the procedures we offer, at 35 to 45%.

As a general guide: balloon from BMI 27, ESG from BMI 27* to 50 (*27 to 30 with related health conditions), and surgical options from BMI 35, especially with related health conditions. Your full health history matters as much as your BMI.

Possibly. Obesity is a medical condition, and procedures address physical factors that make weight loss hard to sustain. A consultation will tell you whether you're a candidate.

Yes. A balloon may be an option from BMI 27, and our partner WeightSimple offers medical weight management for eligible patients.

Sleeve gastrectomy, gastric bypass, and SADI are the options most often discussed. We may recommend medically supervised weight loss before surgery to improve safety.

Most ESG patients are back to desk work within 1 to 3 days. Surgical procedures take several weeks. Everyone follows a staged diet from liquids to regular foods.

Most endoscopic procedures are same-day. After SADI or gastric bypass, most people stay 2 to 3 days.

Usually not long term after ESG, TORe, or the balloon. Short-term supplementation after sleeve gastrectomy. Lifelong supplementation after SADI or gastric bypass.

Tell us early. Your care team will review nutrition, behaviour, and medication, and discuss revision options such as repeat endoscopic procedures or conversion to surgery where appropriate.

Every procedure includes two years of follow-up and aftercare, covering surgeon follow-ups, remote monitoring, dietitian support, and behavioural support, coordinated with our medical partner WeightSimple. After that, you have 3+ more years of medical, nutrition, and behavioural support. This is support rather than scheduled follow-up. All of it is included in your procedure price.

ESG $16,000 to $17,000, TORe $12,000 to $13,000, balloon $8,000 to $9,000, sleeve gastrectomy $15,000 to $16,000, gastric bypass $16,000, and SADI $20,000 to $22,000. Every price includes two years of follow-up and aftercare and 3+ more years of support. You'll receive an exact quote at consultation.

Yes. Financing is available through a third-party lender, subject to approval. We'll go through options at your consultation.

Private procedures are generally not covered. Some related services may be. We'll review what applies to you.

Many patients check with their HSA or benefits provider about eligible medical expenses. Coverage depends on your plan, so confirm with your provider before your procedure.

Every procedure has risks, and your surgeon will go through them with you. Endoscopic procedures avoid external incisions, and published research reports lower rates of serious complications for ESG than for surgical sleeve gastrectomy. Every patient has a pre-procedure assessment.

Nausea, cramping, and discomfort in the first days are common and are managed with medication. Your team will tell you which symptoms mean you should call.

Surgical procedures (sleeve gastrectomy, gastric bypass, SADI) use general anesthesia. For endoscopic procedures, your anesthesiologist will explain the plan for you at your assessment.