--- title: "Endoscopic Sleeve Gastroplasty in Charleston by the Inventors of ESG | Everself" url: https://everself.com/locations/sc/charleston/ description: "Explore non-surgical alternatives to bariatric surgery in Charleston, SC. Everself offers ESG weight loss, gastric balloon, and revision after gastric sleeve — a 60-minute ESG procedure, home the same day." --- Everself Charleston · Summerville, SC # Endoscopic Sleeve Gastroplasty in Charleston. Performed by the Inventors of ESG. A 60-minute, non-surgical weight loss procedure, performed by Dr. Szvarca and Dr. Jirapinyo in Summerville, SC. Options include ESG Stomach Tightening (endoscopic sleeve gastroplasty), plus gastric balloon and bariatric revision. Home the same afternoon. [Am I a candidate?](https://app.everself.com/signup) 4.8 on Trustpilot Virtual consultation Dr. Daniel Szvarca GI · Hopkins & Harvard-trained Dr. Pichamol Jirapinyo ASGE Endoscopy Chair · Harvard - Insurance accepted Most commercial plans - We invented ESG At Harvard, 2012 - 40+ lbs 20% avg. weight loss - 60 min Home the same day ## The home of ESG. With options beyond ESG. Beyond ESG, Everself Charleston offers several non-surgical paths to weight loss — whichever fits your case best. - [Gastric balloon](https://everself.com/gastric-balloon/) - [Gastric sleeve revision](https://everself.com/revision-of-gastric-sleeve/) - [Weight-loss medication](https://everself.com/weight-loss-medication/) [Check which one is best for me](https://app.everself.com/signup) Where Everself Charleston performs ESG ## Performed at Charleston Surgery Center, in Summerville, SC. Charleston Surgery Center is an outpatient surgery facility on Edge Street in Summerville, SC — about 25 minutes from downtown Charleston, with private recovery suites and free on-site parking. [Play](https://youtube.com/watch?v=wH4Y_Bgku3w) Charleston Surgery Center 130 Edge Street Summerville, SC29486 [Open in Google Maps](https://share.google/Um6wcMV36FyAvwI6G) [(843) 264-7353](tel:+18432647353) Telehealth follow-ups available English · Español Free on-site parking · ADA accessible Your Charleston team ## Meet your Everself Charleston team. ### Dr. Daniel Szvarca and Dr. Pichamol Jirapinyo Led by Dr. Daniel Szvarca · Co-led by an Everself co-founder Everself Charleston is led by Dr. Daniel Szvarca, a board-certified gastroenterologist who completed his internal medicine residency at Johns Hopkins Hospital and his gastroenterology fellowship at Harvard Medical School (Brigham and Women's). He has published in leading journals including Gastroenterology and Gut, and is fluent in English, Portuguese, and Spanish. Co-leading the practice is Dr. Pichamol Jirapinyo, an Everself co-founder, Harvard Medical School faculty member, and chair of the ASGE Advanced Endoscopy Committee. Harvard Both: BWH fellowships Johns Hopkins Dr. Szvarca · IM residency ASGE Chair Dr. Jirapinyo · Endoscopy George Washington Dr. Szvarca · MD [See Dr. Szvarca's profile](https://everself.com/team/daniel-szvarca/) [See Dr. Jirapinyo's profile](https://everself.com/team/pichamol-jirapinyo/) Real Everself patient results ## Change is visible. [Am I a candidate?](https://app.everself.com/signup) ### Michelle lost 62 lbs ### Nicole lost 116 lbs ### Oscar lost 90 lbs ### Christina lost 100 lbs ### Lacy lost 40 lbs ### Angelica lost 30 lbs What is ESG (Endoscopic Sleeve Gastroplasty) ## A single conversation. A single procedure. A year of care. ### 1. Pre-procedure A virtual consultation from the comfort of your home with your Charleston specialist provider. Comprehensive metabolic labs, one all-in cost, no upsell. ### 2. The 60-minute procedure Through your mouth, your doctor places 7–10 sutures, reducing the stomach size by \~75%. Home the same day. No incisions, no scars. ### 3. 12 months of concierge care The Everself Program — dietitian, 24/7 nurse practitioner on call, group support, and a peer community for the full year. ## A powerful alternative to GLP-1s. Less invasive than bariatric surgery. - ESG vs GLP-1 ### Almost double the weight loss — in one procedure, with no lifelong drug. ESG | GLP-1 - Real-world weight loss | \~20% | \~11% - Format | Single procedure, 60 min | Weekly injection or daily pills, forever - Durability | 10+ years | Weight returns when stopping - Cost over 5 years | $12,995 | $18–30K Sources & notes (3) 1. Abu Dayyeh BK, et al. Endoscopic sleeve gastroplasty for treatment of class 1 and 2 obesity (MERIT). _Lancet_. 2022;400(10355):441–51. 2. Gleason PP, et al. Real-world persistence and adherence to GLP-1 receptor agonists for weight loss. _JAMA Netw Open_. 2022;5(4):e228081. — Real-world 1-year mean TBWL ≈11%. 3. Wilding JPH, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide. _Diabetes Obes Metab_. 2022;24(8):1553–64. (STEP-1 extension) Weight-loss figures are mean total-body-weight loss (TBWL) reported in the cited peer-reviewed studies. Individual results vary with starting weight and adherence. - ESG vs Bariatric surgery ### Nearly the same weight loss and durability as surgery — without one. ESG | Bariatric surgery - Real-world weight loss | \~20% | 22–30% - Format | No incisions, no cutting | Inpatient surgery with cutting - Durability | 10+ years | 10+ years - Recovery | A few days | 2–6 weeks Sources & notes (3) 1. Abu Dayyeh BK, et al. MERIT trial. _Lancet_. 2022;400(10355):441–51. — ESG 12-month TBWL. 2. Sharaiha RZ, et al. Five-year outcomes of endoscopic sleeve gastroplasty. _Clin Gastroenterol Hepatol_. 2021;19(5):1051–7. — ESG retained loss at 5 years. 3. Welbourn R, et al. Bariatric Surgery Worldwide: 4th IFSO Global Registry Report. _Obes Surg_. 2019;29(3):782–95. — Sleeve / bypass 1-year mean TBWL. Weight-loss figures are mean total-body-weight loss (TBWL) reported in the cited peer-reviewed studies. Individual results vary with starting weight and adherence. What to expect ## From your first call to 12 months of concierge care. Done entirely from home. No need to visit a physical center. - ### 1. Virtual consultation A 45-minute video call with your provider. - ### 2. Lab visit nearby Visit a LabCorp near you for pre-procedure labs. - ### 3. Dedicated care manager A nurse or health coach on your case, prepping you for procedure day. Plan on about half a day at Charleston Surgery Center. Home the same afternoon. - ### 1. Arrive at Charleston Surgery Center Plan to arrive about one hour before your procedure. - ### 2. Life-changing 60 minutes Standard general anesthesia. No incisions — work happens internally. - ### 3. Home that afternoon Once recovery checks are complete, a friend or family member takes you home. 12 months of concierge care, delivered virtually from the comfort of home. - ### 1. Next day: IV hydration Complimentary IV hydration at a partner site near you. - ### 2. Month 1: liquid diet Liquids to soft foods, guided by your dietitian. Gentle exercise from week one. - ### 3. Months 1–12: the Everself program Designed to help you transition to a healthier lifestyle — dietitian, group visits, nurse practitioner, community support. Full program below ↓ Patient stories from the Everself network ## 4.8 stars on Trustpilot. Hundreds of patients later. [Am I a candidate?](https://app.everself.com/signup) [Read all reviews on Trustpilot](https://www.trustpilot.com/review/everself.com) - I had the esg done and I honestly feel no pain at all . It's like nothing was done except two weeks after surgery I'm down 20lbs. Doctor mcgowen was amazing even gave his cell phone if we needed it. … Nicole Kuchar Verified review · 9 months ago - I had the ESG procedure with Dr. Zaid Rana at Charleston Surgery Center on June 19th. The entire process has been hands on. The procedure is self pay but so much is included. They offer a financing option if you don't have the cash flow. … Caroline Bivens Verified review · 3 months ago - Bariendo is fantastic! I have been more than happy with my experience, progress, and care! They have been available anytime I had a question. So far I am 2 month post procedure and down 47 pounds. I have more energy and actually feel like getting out and doing things! mary self Verified review · 10 months ago * Thomas, Lost 63 Lbs * Barb, Lost 65 Lbs * Ornella, Lost 52 Lbs * Joey, Lost 43 Lbs * Helen, Lost 63 Lbs * Ciaralyn, Lost 56 Lbs * Caroline, Lost 85 Lbs * Miriam, Lost 58 Lbs * Eliana, Lost 56 Lbs * Hernando, Lost 59 Lbs * Rebecca, Lost 58 Lbs The Everself Program ## 12 months of concierge weight care, designed around you. ESG is the procedure. The Everself Program is the team around it — a personal dietitian, a nurse practitioner on call 24/7, a care manager you can text, and a peer community you keep for life. ### Here for you Nurse practitioner Registered dietitian Nurse care manager Patient coordinator "The staff is incredible to say the least and they really do demonstrate their care for their clients." — Helen M. · September 2025 Phase 1 Month 1 ### Recover and heal Two to three days of rest and gentle return to normal, then a full first month with your Charleston nurse care manager checking in daily and an Everself provider one tap away around the clock. 24/7 provider on call IV hydration therapy Dedicated nurse care manager Phase 2 Months 2–8 ### Rewire nutrition and habits 1-on-1 coaching from a personal dietitian, weekly group sessions, and (if you want it) an optional GLP-1 add-on to amplify results in the first year. Personal dietitian Group support GLP-1 add-on (optional) Phase 3 Months 9–12 ### Lock in the loss Fine-tune your weight loss and graduate into a lifetime patient community. Final provider check-ins make sure you're on track for years, not months. Personal dietitian Fine-tune weight loss Lifetime community Final check-ins For out-of-town patients ## Stay at Courtyard Charleston Summerville. The Courtyard and Residence Inn are a 2 minute drive to the surgery center. The Marriott on Lockwood is 20 min away in downtown Charleston Use code 17E at booking [Book Courtyard Charleston Summerville](https://www.marriott.com/event-reservations/reservation-link.mi?id=1778259430241\&key=CORP\&app=resvlink) Pricing ## One price. The Everself Program included. Use your insurance or pay one all-in price. Either way, the Everself Program is included. [See full pricing breakdown →](https://everself.com/pricing-financing/) ESG · all-in $12,995 Procedure + 12 months of concierge care Insurance We accept insurance Most commercial plans · we check your coverage for you Financing From $297 / mo Through Cherry or CareCredit · HSA / FSA accepted · 0% APR for qualified applicants [Book your Everself consultation](https://app.everself.com/signup) or talk to the team · [(843) 264-7353](tel:+18432647353) - ### Gastric balloon A drug-free, non-surgical, fully reversible path to weight loss. $7,495 from $172/mo · Cherry / CareCredit / HSA / FSA [Book consultation](https://app.everself.com/signup) [Learn more about gastric balloon](https://everself.com/gastric-balloon/) - ### Gastric sleeve revision A non-surgical revision for those regaining weight after gastric sleeve. $11,995 from $275/mo · Cherry / CareCredit / HSA / FSA [Book consultation](https://app.everself.com/signup) [Learn more about gastric sleeve revision](https://everself.com/revision-of-gastric-sleeve/) ## Common questions about Everself Charleston How long is the drive to Charleston Surgery Center from my Charleston neighborhood? Charleston Surgery Center is in Summerville, SC. Drive times: **\~25 minutes from downtown Charleston**; **\~30 minutes from Mt. Pleasant**; **\~15 minutes from North Charleston**; **\~25 minutes from West Ashley**. Free on-site parking, and out-of-town patients have a partner hotel nearby. Is parking free at Charleston Surgery Center? Is the facility accessible? Yes — **free on-site parking** is available at Charleston Surgery Center for every Everself Charleston visit, with spots a short walk from the entrance. The facility is fully **ADA accessible**, including accessible parking, entrances, restrooms, and outpatient recovery suites. A member of your care team will meet you in reception when you arrive. What languages does the Everself Charleston team speak? Your Everself Charleston nurse practitioners, dietitians, patient navigators, and care coordinators support consultations, the procedure, and aftercare in **English and Spanish**. If you have a specific language need beyond these, your patient navigator will arrange interpretation services for your visits. How do I get an endoscopic weight loss procedure in Charleston? To get an endoscopic weight loss procedure in Charleston, please [schedule a virtual consultation](https://app.everself.com/signup) with one of our nurse practitioners or physician assistants to determine whether you're a candidate. We don't accept walk-ins. [Learn more about the entire patient journey.](https://everself.com/patient-journey/) How do I qualify for an endoscopic weight loss procedure? To be eligible for one of our endoscopic weight loss procedures (such as endoscopic sleeve gastroplasty, gastric balloon, or revision of prior bariatric surgery), ideal candidates typically have a body mass index (BMI) over 30, or a BMI between 27 and 29.9 with obesity-related conditions like high blood pressure, diabetes, high cholesterol, sleep apnea, or fatty liver disease. For an endoscopic revision of prior bariatric surgery, you must have had a gastric bypass or gastric sleeve surgery. How is Everself's endoscopic sleeve gastroplasty (ESG) different from ESG at other providers? Our team invented endoscopic sleeve gastroplasty (ESG) at Harvard Medical School and authored both the official ESG protocol and the field's best-practice technique standard — so when you choose Everself, you're choosing the source. **Technique matters: ESG outcomes vary substantially with suture count, the stitch pattern, and whether each bite captures full-thickness tissue.** Traditional ESG uses 3 to 5 sutures; the Everself protocol uses 7 to 10 — up to double the structural anchoring — and each stitch grabs full-thickness gastric wall, which is what makes the reduction durable years out. The procedure is also only half of the program. We co-authored a 12-month longitudinal-care protocol that goes far beyond passive check-ins: every patient is supported by a dedicated care coordinator, a registered dietitian, group support cohorts, and a 24/7 nurse practitioner on call. This combination of inventor-grade technique plus a true 12-month program is what sets Everself apart from any other ESG provider. 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. What are the risks of endoscopic sleeve gastroplasty (ESG)? As with any minimally invasive procedure, ESG carries some risk. The most commonly reported effects are temporary nausea, abdominal discomfort or bloating in the days afterward, which most patients manage with rest and guidance from their care team. Less common risks and complications include reflux or, rarely, injury to the stomach lining that may need further treatment. ESG is performed in an outpatient setting, and your Everself team will review your full risk profile with you before your procedure. 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 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 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/) Do you accept insurance at this location? Yes. We accept commercial insurance for ESG here. To qualify, you need to be 22 or older with a BMI of 30 or more (some plans require a BMI of 35 or more). You don't need to work out your coverage yourself: book a consultation and we'll figure it out for you. We also manage the prior authorization process to get you approved, free of charge. Do you accept Medicare, Medicaid, Tricare or VA? Not yet. We can't accept Medicare (including Medicare Advantage), Medicaid, Tricare or VA coverage at this time. You can still self-pay, with HSA, FSA or financing options. [See pricing and financing.](https://everself.com/pricing-financing/) Everself Charleston · with Dr. Szvarca and Dr. Jirapinyo ## Your new chapter with Everself Charleston. 45-minute virtual consultation. No obligations. [Book your Everself consultation](https://app.everself.com/signup) ## 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