--- title: "ESG Stomach Tightening® - Lose Weight Without Surgery | Everself" url: https://everself.com/esg-stomach-tightening/ description: "Lose weight without surgery or lifestyle interventions with Everself’s ESG Stomach Tightening procedure. This life-changing procedure is minimally invasive, endoscopic." --- # ESG Stomach Tightening® Your path to lasting weight loss. A one-time, non-surgical endoscopic procedure to reduce stomach size, leading to lasting weight loss. [Am I a candidate?](https://app.everself.com/signup) 4.8 stars - 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 * 20% 1-year post-procedure average weight loss \[1] * 24% Average weight loss when combined with medications \[2] * 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 | | 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 | | | | | | | New ## Introducing Everself ESG Max, now available in Boston and Charlotte ESG with an added step designed to reduce ghrelin, the hunger hormone — in the same one-hour session. [Find out more](https://everself.com/esg-max/) ## Lessons from the physicians & care team behind ESG [Go deeper](https://everself.com/science/) ### 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. ### 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. ### 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. > “"Choosing Everself was the right decision for me. My journey is ongoing, and I’m still learning, adjusting, and building healthier habits."” Tonya Lost 60 lbs 29% weight loss > “I found it now and took that leap, so I can be on a healthier path in life!” Aaron Lost 92 lbs 25% weight loss > “It was the best decision I’ve ever made, and my health has improved tremendously.” Maria Lost 64 lbs 32% weight loss > “This journey has truly changed my life!” Krystal Lost 50 lbs 19% weight loss > “For the first time in over 30 years, I don't feel like I'm trapped on that roller coaster anymore!” Amanda Lost 26 lbs 12% weight loss > “Everself has given me my life back and provided me with the tools to continue my success.” Heather Lost 61 lbs 23% weight loss > “The 31 pounds has been my first step. I can’t wait to see what happens next.” Barbara Lost 31 lbs 13% weight loss > “I have gained back my health, energy, and confidence.” Jaimie Lost 81 lbs 27% weight loss > “The support, accountability, and genuine care made all the difference in my success.” Thomas Lost 63 lbs 20% weight loss > “I have the confidence to take photos again and feel proud of how far I’ve come.” Danna Lost 47 lbs 18% weight loss > “I’ve learned to push past excuses and focus on progress—not perfection.” Aminah Lost 29 lbs 15% weight loss > “My A1c dropped to 4.9, I came off my medications, and I finally feel in control of my health.” Tara Lost 24 lbs 11% weight loss > “Being able to eat smaller portions and finally feel satisfied is something I couldn’t achieve before ESG.” Meagan Lost 14 lbs 7% weight loss > “I lost 52 pounds, reversed my prediabetes, and now hike and walk every day without pain.” Ornella Lost 52 lbs 21% weight loss > “In just two months, I lost 47 pounds and finally feel in control of my health again.” Mary Lost 47 lbs 16% weight loss > “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 22% weight loss > “I feel at least 10 years younger and am happily maintaining my goal weight.” Karen Lost 45 lbs 21% 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 14% 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 85 lbs 36% 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 29% 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 16% 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 17% 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 26% 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 18% 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 48% 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 ## Is ESG Stomach Tightening right for me? [Am I a candidate?](https://app.everself.com/signup) ## Flexible financing options that work for you [See financing options](https://everself.com/cherry) ### $12,995 Pay upfront with transparent, all-inclusive pricing—no hidden fees or surprises. Know exactly what your procedure costs before you begin. We also accept HSA and FSA payments. [Check eligibility](https://app.everself.com/signup) ### 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 as an outpatient procedure. 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)? Because ESG is minimally invasive, 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 minimally 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](https://app.everself.com/signup) 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](https://app.everself.com/signup) 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.](https://everself.com/pricing-financing/) Is endoscopic sleeve gastroplasty covered by insurance? Yes, for some patients. We accept commercial insurance for ESG if you live in South Carolina, Georgia, Michigan, Ohio, or Indiana. Patients from South Carolina and Georgia have their procedure at our Charleston location, and patients from Michigan, Ohio, and Indiana at our Detroit location. We check your coverage and handle prior authorization for you, at no cost. We can't accept Medicare (including Medicare Advantage), Medicaid, Tricare, or VA. Some employers also cover ESG as a benefit: [check your employer](https://everself.com/coverage/). Everyone else can self-pay, with HSA, FSA, or financing options. [See pricing and financing.](https://everself.com/pricing-financing/) ## Citation --- 1. [Jirapinyo P\*, Hadefi A\*, Thompson CC, Patai AV, Pannala R, Goelder SK, Kushnir V, Barthet M, Apovian CM, Boskoski I, Chapman CG, Davidson P, Donatelli G, Kumbhari V, Hayee B, Esker J, Hucl T, Pryor AD, Maselli R, Schulman AR, Pattou F, Zelber-Sagi S, Bain PA, Durieux V, Triantafyllou K, Thosani N, Huberty V\*\*, Sullivan S\*\*. American Society for Gastrointestinal Endoscopy-European Society of Gastrointestinal Endoscopy guideline on primary endoscopic bariatric and metabolic therapies for adults with obesity. Gastrointest Endosc. 2024;99(6):867-885. PMID: 38639680.](https://pubmed.ncbi.nlm.nih.gov/38639680/) 2. [Kumar N, Abu Dayyeh BK, Lopez-Nava G, Galvao Neto MP, Sahdala NP, Shaikh SN, Hawes RH, Gostous CJ, Goenka MK, Orillac JR, Alvarado A, Jirapinyo P, Zundel N, Thompson CC. Endoscopic Sleeve Gastroplasty: Procedure Evolution from First in Man Cases through Current Technique. Surgical Endoscopy. 2018;32(4):2159-2164. PMID: 29075966.](https://pubmed.ncbi.nlm.nih.gov/29075966/) 3. [Jirapinyo P, Thompson CC. Primary Endoscopic Bariatric and Metabolic Therapy: Surgical Analogues and Mechanisms of Action. Clinical Gastroenterology Hepatology. 2017;15(5):619-630. PMID: 27989851.](https://pubmed.ncbi.nlm.nih.gov/27989851/) 4. [Abu Dayyeh BK, Bazerbachi F, Vargas EJ, Sharaiha RZ, Thompson CC, Thaemert BC, Teixeira AF, Chapman CG, Kumbhari V, Ujiki MB, Ahrens J, Day C, Acosta AJ, Badurdeen D, Buttar NS, Clark MM, Eaton L, Ghanem O, Grothe K, Jirapinyo P, Kellogg T, Klein CL, Mundi M, Storm AC, Rivera AR, Wilson TD, Galvao Neto M, Zundel N, Wilson EB. Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT): a prospective, multicentre, randomized trial. Lancet. 2022;400(10350):441-451. PMID: 35908555.](https://pubmed.ncbi.nlm.nih.gov/35908555/) 5. [Jirapinyo P, Kumar N, Shaikh S, Trasolini R, Ryan M, Thompson CC. Ten Year Efficacy of Endoscopic Sleeve Gastroplasty. Gastrointest Endosc. 2023;97(6):AB34-AB35.](https://eposters.ddw.org/ddw/2023/ddw-2023/378302) 6. [Haseeb M, Chhatwal J, Xiao J, Jirapinyo P, Thompson CC. Semaglutide vs Endoscopic Sleeve Gastroplasty for Weight Loss. JAMA Netw Open. 2024;7(4):e246221. PMID: 38607627.](https://pubmed.ncbi.nlm.nih.gov/38607627/) 7. [Jirapinyo P, Jaroenlapnopparat A, Thompson CC. Efficacy of anti-obesity medication (AOM) and endoscopic gastric remodeling (EGR): Analysis of combination therapy with optimal timing and agents. Endosc Int Open. 2024;12(12):E1458-E1464. PMID: 39691741.](https://pubmed.ncbi.nlm.nih.gov/39691741/) 8. [Wilding JPH, Batterham RL, Davies M, Van Gaal LF, Kandler K, Konakli K, Lingvay I, McGowan BM, Oral TK, Rosenstock J, Wadden TA, Wharton S, Yokote K, Kushner RF; STEP 1 Study Group. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022 Aug;24(8):1553-1564. PMID: 35441470.](https://pubmed.ncbi.nlm.nih.gov/35441470/) ## Get started with Everself - Book a free consultation: https://app.everself.com/signup - Call (833) 837-7353 or email hello@everself.com - Everself at a glance, with links to every key page: https://everself.com/llms.txt