Everself ESG Max

ESG with added hunger-hormone reduction

Now available in Charlotte and Boston

Everself ESG Max (ESG with Mucosal Ablation) pairs a smaller stomach with an added step designed to reduce ghrelin, a key hunger hormone — all in one endoscopic procedure. No shots. No incisions. Home the same day.

Two minutes of questions. Then book a free virtual intro call.

23.5%

Average weight loss at one year in clinical studies

No incisions

Endoscopic — in through the mouth, nothing external

Same day

Home the day of your procedure

Physician-developed

Built and first studied by Everself physicians

What Everself ESG Max does differently

Two mechanisms. One procedure. One day.

ESG uses internal sutures to make your stomach smaller, helping you feel full sooner. ESG Max adds fundus ablation, which treats the upper stomach lining where many ghrelin-producing cells live. It is designed to reduce hunger signals, not just stomach capacity.

Lower stomach capacity via ESG

Internal sutures make the stomach smaller, so smaller meals satisfy you. This is ESG itself — the procedure Everself is built on, performed through the mouth with no incisions.

Lower hunger signal via Ablation

In the same session, your physician treats a small area of the upper stomach lining, where many ghrelin-producing cells live. It's designed to reduce the hunger signal itself.

The results

What the clinical studies actually found

23.5%

Average total body weight loss at one year

In prospective clinical studies, results approached those of bariatric surgery, without incisions.

45%

Average reduction in ghrelin at six months

Ghrelin is a hormone that drives hunger. Reducing it is designed to quiet hunger, cravings, and food noise. Results vary.

The ablation component of Everself ESG Max is performed with an FDA-cleared device. Its use for weight loss is not FDA approved and is currently being evaluated in clinical studies.

One procedure. Two pathways to reduce hunger.

What does it do?

The hunger effect is designed to quiet food noise, reduce cravings, and give you greater control over eating. Instead of feeling like you're constantly white-knuckling it through meals or fighting the urge to eat, that extra level of support can be a game-changer.

But the goal isn't to eliminate hunger completely — and we wouldn't want it to. You'll still experience normal hunger when you skip a meal or when your body needs nutrition. Everself ESG Max is designed to turn down excessive hunger, not switch hunger off.

Meanwhile, the ESG itself creates a lasting structural change to the stomach, helping you feel satisfied with smaller portions over the long term.

And there's an important difference from medication. GLP-1 medications quiet appetite only while you're taking them, and hunger returns after they're stopped. ESG Max is a one-time procedure designed to give you that quieter window up front, while the anatomy change from ESG remains.

Developed here. Not adopted here.

You're talking with the people behind the science.

The physicians at Everself helped develop Everself ESG Max and ran some of the first human studies of the technique. Their published research helped establish its early safety profile and the results above.

Compare your options

Weight loss solution comparison
	Gastric sleeve	Everself ESG Max	Everself ESG	GLP-1s
Type of procedure	Major surgery with incisions, scars, and hospital stay	Non-surgical, no incisions — ESG plus a hunger-hormone step, one session	Non-surgical, no incisions, done in 1 hour	Lifelong weekly self-injections
Average weight loss	~23% of body weight	23.5% of body weight	~20% of body weight	~7–15% of body weight while on meds
Lasting results	Durable results for 10-15 years	Durable results for 10+ years from the ESG	Durable results for 10+ years	Weight regain returns after stopping
Recovery	A few weeks	A few days	A few days	No downtime, but lifelong medication

Are you a candidate?

Not everyone is a candidate. If you aren't, your physician will tell you.

Everself ESG Max is likely a fit if you:

Have a BMI of 30+, or 27+ with a weight-related condition
Have lost weight before and watched hunger bring it back
Have used a GLP-1 and don't want to be on one forever
Want a procedure without incisions or hospital recovery
Are ready to commit to follow-up and lasting change

One price. Everything included.

See financing options

$15,995

Everself ESG Max is self-pay by design: no referrals, no prior authorizations, no denials, and no waiting on someone else's approval. Transparent, all-inclusive pricing with no hidden fees. We also accept HSA and FSA payments.

Check eligibility

What's included:

The full procedure: ablation and sleeve in one session, under anesthesia
12 months of medical follow-up with your care team
Nutrition coaching
Long-term support beyond your first year
Transparent, all-inclusive pricing with no hidden fees

If you're paying $1,000 a month for a brand-name GLP-1, that's $12,000 a year for as long as you stay on it. Everself ESG Max costs less than 16 months of that, once. Lower-cost medication changes the math but not the shape of it: medication is a subscription, and this isn't.

FAQ

Questions, answered

What does ESG Max stand for?

Max comes from Mucosal Ablation, the technique that separates it from standard ESG. Alongside the internal sutures that make your stomach smaller, your physician treats the mucosa — the lining — of the upper stomach, where many ghrelin-producing cells live. That added step is designed to reduce the hunger signal itself, not just how much your stomach holds. Both happen in one endoscopic session, through the mouth, with no incisions.

What's the difference between ESG and ESG Max?

ESG uses internal sutures to make your stomach smaller, helping you feel full sooner. ESG Max combines ESG with fundus ablation—an added step designed to reduce hunger-hormone signals. Together, they address both stomach capacity and hunger.

How does fundus ablation target hunger?

Fundus ablation treats the lining of the upper stomach, where many ghrelin-producing cells live. By targeting this area, ESG Max is designed to reduce the hunger signal itself—not just how much your stomach holds.

Are both steps completed at the same time?

Yes. ESG and fundus ablation are completed during one endoscopic session under anesthesia. Everything is performed through the mouth, without incisions or removing part of the stomach.

Who might consider ESG Max?

ESG Max may be appropriate for people who want the benefits of ESG with additional help managing hunger. Your physician will recommend the best option based on your health, anatomy, and weight-loss goals.

How much weight can I expect to lose?

Patients lose about 20% of their total body weight with ESG. In early clinical research, patients undergoing ESG Max lost an average of 23.5%. Individual results vary, and long-term success depends on nutrition, activity, and ongoing support.

How long does ESG Max take?

Traditional ESG takes about 60 minutes. Adding fundus ablation brings the total procedure time to approximately 75–90 minutes. Both steps are completed during the same session.

What is recovery like after ESG Max?

Most patients return home the same day. Nausea, cramping, or abdominal discomfort may occur during the first few days, and many patients return to work within three to four days. You'll follow a gradual diet progression while your stomach heals.

Can I have fundus ablation if I've already had ESG?

Possibly. For some patients, fundus ablation can be performed after a previous ESG to add another pathway for hunger control. Your physician will review your anatomy, health history, and prior procedure to determine whether it's appropriate.

Your body has been arguing with you for years.

Everself ESG Max was built to quiet that argument: a smaller stomach, less hunger while new habits take hold, and a team that stays with you long after the procedure. Charlotte & Boston.