A small stomach pouch is created and connected directly to the small intestine, reducing both how much you eat and how much is absorbed.
*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 stomach pouch is created and connected directly to the small intestine, reducing both how much you eat and how much is absorbed. It is often discussed for people with a BMI of 35 and above, especially with type 2 diabetes.
You are under general anesthesia. The surgeon works through several small incisions of 0.5 to 1.5 cm.
The top of the stomach is divided to make a small pouch that receives food. The rest of the stomach stays in place but no longer receives food.
The pouch is joined to a lower part of the small intestine, so food bypasses part of the digestive tract and fewer calories are absorbed.
Because absorption changes, vitamin supplementation and regular bloodwork are part of the plan.
Surgical options such as sleeve gastrectomy or gastric bypass may be appropriate, especially with conditions like type 2 diabetes.
SADI and gastric bypass are often discussed. We may recommend medically supervised weight loss before surgery to improve safety.
My BMI is over 40 and I have diabetes or other conditions.
Candidacy depends on more than BMI. Your surgeon reviews your full health history before recommending any procedure. See every BMI range
Typical recovery: 2 to 4 weeks. Everyone follows a staged diet, from liquids to regular meals, with a dietitian guiding each step.
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 | ESGEndoscopic Sleeve Gastroplasty | TOReTransoral Outlet Reduction | BalloonIntragastric Balloon | LSGLaparoscopic Sleeve Gastrectomy | This procedureRYGBRoux-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.
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.
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