An endoscope passed through the mouth places sutures that fold the stomach and reduce its volume by roughly 70%. Nothing is cut or removed, and there are no external incisions. The procedure takes about 60 to 90 minutes.
*Typical total body weight loss reported in published literature, not SmartSleeveMD outcomes data. Individual results vary. **Illustration only, based on the low end of the range with no interest. Financing is provided by a third-party lender, subject to approval.
A small camera-equipped tube (an endoscope) passes through the mouth into the stomach, so there are no external incisions. ESG is less invasive than a surgical sleeve and recovery is usually days rather than weeks.
You are asleep for the procedure. An endoscope is passed through the natural pathway of the throat into the stomach. Nothing is cut on the outside.
Stitches placed from the inside fold the stomach and reduce its volume by roughly 70%. Nothing is removed.
A smaller stomach that empties more slowly helps you feel full sooner and stay full longer.
Most patients go home the same day with a companion. Some stay overnight for monitoring.
You may be a candidate for an endoscopic sleeve (ESG), with no external incisions. *At BMI 27 to 30, ESG is considered when there are related health conditions.
ESG suits many people who prefer to avoid incisions and a longer recovery.
I've tried every diet, and I don't want surgery.
I lost weight on a GLP-1 and I'm worried about keeping it off.
Candidacy depends on more than BMI. Your surgeon reviews your full health history before recommending any procedure. See every BMI range
Your procedure takes place at our partner facility, Clinic 360 in Toronto. Most patients go home the same day with a companion. Some stay overnight for monitoring.
Most ESG patients are back to desk work. Mild nausea or discomfort is expected and managed with medication.
Your dietitian guides you from liquids to soft foods to regular meals, one stage at a time.
Regular follow-ups, nutrition coaching, and medication review if clinically indicated.
Your surgeon will walk you through the recovery plan for your procedure. How to prepare, and what recovery looks like
Every price includes your procedure, two years of follow-up and aftercare, and 3+ more years of medical, nutrition, and behavioural support. You'll get an exact quote at your consultation.
Years 3 to 5+ are support, not scheduled follow-up. All of it is included in your procedure price.
Showing 6 procedures
| Feature | This procedureESGEndoscopic Sleeve Gastroplasty | TOReTransoral Outlet Reduction | BalloonIntragastric Balloon | LSGLaparoscopic Sleeve Gastrectomy | RYGBRoux-en-Y Gastric Bypass | SADISingle Anastomosis Duodeno-Ileal Bypass |
|---|---|---|---|---|---|---|
| How it's done | Through the mouth, sutures fold the stomach | Through the mouth, sutures tighten the bypass outlet | Through the mouth, a balloon occupies stomach space | Keyhole surgery, part of the stomach removed | Keyhole surgery, small pouch connected to the intestine | Keyhole surgery, sleeve plus one intestinal connection |
| Incisions | None | None | None | Small, 0.5 to 1.5 cm | Small, 0.5 to 1.5 cm | Small, 0.5 to 1.5 cm |
| Recovery | Back to desk work in 1 to 3 days | About 1 to 2 days | Usually same day | About 2 to 4 weeks | 2 to 4 weeks | Several weeks |
| Permanence | Long-term, can be revised | Long-term | Temporary, removed at about 6 months | Permanent | Permanent | Permanent |
| Often suits | BMI 27* to 50 (*27 to 30 with related health conditions) | Weight regain after gastric bypass | BMI 27 to 35, wants a temporary first step | BMI 30 and above | BMI 35 and above | BMI 35 and above |
| Typical weight loss | 15 to 20% | 7 to 10% | 5 to 7% | 25 to 30% | 30 to 40% | 35 to 45% |
| Price | $16,000 to $17,000 | $12,000 to $13,000 | $8,000 to $9,000 | $15,000 to $16,000 | $16,000 | $20,000 to $22,000 |
Weight-loss ranges are typical total body weight loss reported in published literature, not SmartSleeveMD outcomes data. Individual results vary. Prices are ranges; you'll get an exact quote at consultation.
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.
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.
Most ESG patients are back to desk work within 1 to 3 days. Everyone follows a staged diet from liquids to regular foods.
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.
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