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Everself Everself

ESG Stomach Tightening®

Your path to lasting weight loss.

Through our non-surgical endoscopic method, we reduce your stomach size in a single visit, creating a physical and physiological foundation for lasting weight loss.

Am I a candidate?

No incisions, no scars
Under anesthesia, a thin endoscope is inserted through the mouth to perform ESG. There are no incisions or visible marks.
Your stomach, 60-75% smaller
Using proprietary techniques, we reduce stomach capacity by 60-75%—so you naturally feel full faster and stay satisfied longer.
One-time procedure, minimal downtime
The 60-minute procedure ends with 1-2 hours of recovery before you go home. After 2-3 days of rest, you're back to your regular schedule.

A 60-minute procedure. Life-lasting transformation.
No injections needed.

  • Clinically-proven efficacy

  • Authorized by FDA

Important safety information

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical endoscopic procedure performed through the mouth using a specialized suturing device. In 2022, the FDA authorized dedicated ESG systems such as the OverStitch suturing device for weight loss treatment, confirming ESG as a safe and effective option when performed by trained specialists. More than 20,000 ESG procedures have been completed worldwide, including over 10,000 by Everself physicians.

A large ASGE meta-analysis, spanning over 5,000 patients, found an average weight loss of 18.2% from baseline weight at one year, a severe adverse event rate of 1.3%, and zero mortality. Most side effects are mild and brief, including abdominal discomfort, nausea, or fatigue. Rare but serious risks include bleeding, infection, or perforation.

Because ESG alters stomach size internally, it should only be performed by clinicians experienced in bariatric endoscopy. At Everself, all patients complete thorough medical history review and blood work for final clearance, and every physician is certified in our proprietary technique to support safety and long-term results. As with all medical procedures, risks exist, and our team will guide you through them so you can make an informed decision.

Alt text for Image
20%
1-year post-procedure average weight loss1
24%
Average weight loss when combined with medications2
16%
Average 5-year post-procedure weight loss
10+ yrs
Proven to last for at least ten years and likely even longer

Leading the future of weight care

Weight loss solution comparison
Everself ESG GLP-1 medications Bariatric surgery Liposuction
Type of procedure
Non-surgical, no incisions, done in 1 hour
Lifelong weekly self-injections
Major surgery with incisions, scars, and hospital stay
Cosmetic surgery removing fat under the skin
Average weight loss
~20% of body weight
~7–15% of body weight while on meds
~22–30% of body weight
~1–3% of body weight
Lasting results
Durable results for 10+ years
Weight regain returns after stopping
Durable results for 10-15 years
Not designed for weight control
Recovery
A few days
No downtime, but lifelong medication
A few weeks
A few days

Lessons from the physicians & care team behind ESG

Go deeper

50 minutes to longer fullness

ESG provides your body with powerful tools to combat hunger. ESG improves "gastric emptying,” keeping you feeling full longer, and boosting your body’s natural GLP-1 hormones.

50 minutes to longer fullness

Improved eating behaviors

We refer to “food noise” as the constant mental urge to eat. It’s not caused by a lack of discipline, but a biological signal stuck in the “on” position. ESG helps quiet these cravings by resetting the brain-gut connection.

Improved eating behaviors

How ESG compares to GLP-1s

GLP-1 medications require lifelong weekly injections. ESG offers a non-surgical, one-time alternative that delivers double the weight loss. It provides freedom from the hassle and side effects of chronic medication.

How ESG compares to GLP-1s
“Nothing is easy, but with this level of care and commitment, you're set up for nothing but success. ESG has changed my whole lifestyle; you can do it too! ”

Helen

Lost 63 lbs 26% weight loss
“If you stick to the plan and talk to your support team, you will lose weight. One of the best decisions I have made! ”

Trish

Lost 41 lbs 17% weight loss
“From the first call I made to now, the doctors and staff have given me top-notch care and coaching. I feel at least 10 years younger!”

Karen

Lost 29 lbs 15% weight loss
“I appreciate that Everself's team is with you every step of the way!”

Cenedra

Lost 38 lbs 12% weight loss
“I honestly feel so much better already and wouldn't change my decision for the world.”

Ciaralyn

Lost 56 lbs 13% weight loss
“Since day one, the Everself team has always been there when needed. ”

Jaybe

Lost 32 lbs 12% weight loss
“I've experienced remarkable improvements in my overall health—my eczema has disappeared, and I no longer suffer from the acid reflux that plagued me. ”

Nikki

Lost 22 lbs 14% weight loss
“I already feel so much better, especially my knees and feet! If you've struggled with your weight, you will wish you knew about Everself sooner!”

Caroline

Lost 51 lbs 22% weight loss
“I would recommend ESG to anyone who is thinking about the procedure. I only took three days off and then went back to work.”

Debra

Lost 48 lbs 26% weight loss
“Everself made my dreams come true. I finally feel like I am winning the battle I have been having with my weight.”

Eliana

Lost 56 lbs 26% weight loss
“The ESG was the best life-altering decision I could've taken. I finally have control over my life and health. I have lost a total of 58 pounds in 4 months.”

Miriam

Lost 58 lbs 20% weight loss
“I have more energy, I'm more active, I can cross my legs comfortably again, and clothes that used to be too tight are now too big.”

Rebecca

Lost 58 lbs 20% weight loss
“The Everself team, from before my procedure to today, has been very attentive and concerned about my progress and well-being. I recommend Everself! ”

Hernando

Lost 59 lbs 24% weight loss
“The entire team, the clinic, and especially patient navigator have been very professional and knowledgeable. ”

Doris

Lost 36 lbs 14% weight loss
“The ESG procedure has truly transformed my life. I am so grateful to Dr. Ali Abbas and the Everself team for their exceptional care.”

Natalie

Lost 42 lbs 22% weight loss
“Everself made me feel comfortable and informed every step of the way, greatly easing my concerns.”

Amelia

Lost 51 lbs 26% weight loss
“All I can think is that I would have liked to do this long ago! ”

Angelica

Lost 30 lbs 14% weight loss
“My only regret is that I didn’t have this procedure earlier. I was a size 12, and now I can fit into a size 8.”

Candy

Lost 28 lbs 16% weight loss
“The amount of attention by Everself's team has been outstanding, and it still is. I had the procedure done with absolutely no regrets.”

Oscar

Lost 90 lbs 17% weight loss
“Everself gave me the formula for a successful weight loss journey. My stomach is smaller, so I’m satisfied much quicker and that is SUPER helpful.”

Lisa

Lost 42 lbs 15% weight loss
“Taking this step was the ideal starting point for my journey towards a healthier lifestyle. Thank you, Everself's team!”

Patricia

Lost 30 lbs 16% weight loss
“I am 49 pounds lighter, my health has improved, I sleep better, and my relationship has improved.”

Eduardo

Lost 49 lbs 15.5% weight loss
“What I loved the most about Everself is that they have been so helpful throughout the entire ordeal and have not ever left me alone.”

Cesar

Lost 27 lbs 11% weight loss
“From 256 to 199 pounds, the ESG Stomach Tightening was the significant change in my life.”

Javier

Lost 57 lbs 23% weight loss
“For the first time in my life, I'm able to experience the feeling of fullness and satisfaction. Everself saved my life.”

Nicole

Lost 116 lbs 44% weight loss
“The doctors and nutritionists care about you, give you the best advice, and they are there for you”

Rey

Lost 30 lbs 14% weight loss
“Dr. Jirapinyo is one of the best you can have to take care of you. She is very caring and helps you feel confident. ”

Andy

Lost 30 lbs 12.9% weight loss
“I would recommend the ESG procedure from Everself to anyone. It was the right decision for me. Dr. Thompson and the entire team is amazing.”

Gwendolyn

Lost 30 lbs 11% weight loss
“I can keep up with my nine grandchildren and I just feel great. It’s been a lifesaver, life-changing for me. I’m so glad I did it.”

Doreen

ESG Stomach Tightening® patient

Setting the standard in permanent weight loss

Description Everself ESG Generic ESG

Physicians certified by the ESG pioneers

True False

Proprietary technique ensuring the highest quality

True False

Average number of sutures per procedure

7-10

3-6

Concierge support from multidisciplinary care team

True

?

Care team check-ins before & after procedure

15+

1-6

Integrated weight care Rx management (excl medication cost)

True False

Is ESG Stomach Tightening right for me?

Flexible financing options that work for you

$12,995

Pay upfront with transparent, all-inclusive pricing—no hidden fees or surprises. Know exactly what your procedure costs before you begin.

Check eligibility

What's included:

  • ESG Stomach Tightening procedure
  • Comprehensive metabolic lab test
  • 12-month post-procedure support from our multidisciplinary care team
  • Smart scale and patient app access
  • Post-procedure 24/7 clinical on-call support
  • Patient support groups
  • Integrated weight loss prescription management (medications not included)

Frequently asked questions

How long does endoscopic sleeve gastroplasty (ESG) take?

The procedure itself takes approximately 60 minutes. However, you should plan on spending about half a day with us including preparation and recovery.

What is recovery like after endoscopic sleeve gastroplasty (ESG)?

Patients go home on the same day. Most take a few days off to recover at home before returning to work. After the procedure, patients follow a full liquid meal plan, which includes protein shakes and similar products, then transition to a soft diet, which includes easy-to-eat foods such as oatmeal and bananas, and then return to regular eating.

Is endoscopic sleeve gastroplasty (ESG) reversible?

Your doctor can use one of three available suturing or plication devices to perform ESG/EGP. ESG can be reversible, while EGP is typically not. If this is important to you, you should discuss this with your provider prior to the procedure.

How does ESG compare to endoscopic gastric plication (EGP)?

Endoscopic sleeve gastroplasty (ESG) folds your stomach outward, while endoscopic gastric plication (ESG) folds your stomach inward. This is why ESG can be reversible and EGP is typically not. Additionally, some stomachs, depending on their shape and size, may respond better to a specific device. Having access to all three suturing and plication devices allows your doctor to tailor the procedure for best results.

How does ESG compare to sleeve gastrectomy?

Endoscopic sleeve gastroplasty (ESG) is a less invasive, non-surgical weight loss option with a quicker recovery, no scarring, and fewer complications, typically requiring 1 to 3 days off work. In contrast, sleeve gastrectomy is a surgical procedure with more significant weight loss but involves a longer recovery, hospital stay of 1 to 3 days, and 2 to 4 weeks off work. Consult with our clinical team or your healthcare provider to determine the best option for you.

How does ESG compare to gastric bypass?

Endoscopic sleeve gastroplasty (ESG) is a less invasive, non-surgical weight loss option with a quicker recovery, no scarring, and fewer complications, typically requiring 1 to 3 days off work. In contrast, gastric bypass is a surgical procedure with more significant weight loss but involves a longer recovery, hospital stay of 1 to 3 days, and 2 to 4 weeks off work. Consult with our clinical team or your healthcare provider to determine the best option for you.

How much does endoscopic sleeve gastroplasty cost?

An endoscopic sleeve gastroplasty (ESG) procedure costs $12,995, which includes 12 virtual visits with your Everself healthcare team. Financing options are available. Learn more about our pricing and financing options.

Is endoscopic sleeve gastroplasty covered by insurance?

Unfortunately, insurance does not cover endoscopic weight loss procedures yet. However, we offer several financing options. Learn more about our pricing and financing options.

Bariendo is now Everself.

Since pioneering ESG at Harvard over a decade ago, we've helped thousands achieve life-changing, long-lasting weight loss. Our new name and brand reflect what we've always stood for: helping you become ever healthy, ever confident, ever yourself.

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