--- title: "Endoscopic Sleeve Gastroplasty in Houston by the Inventors of ESG | Everself" url: https://everself.com/locations/tx/houston/ description: "Explore non-surgical alternatives to bariatric surgery in Houston, TX. Everself offers ESG weight loss, gastric balloon, and revision after gastric sleeve or bypass — a 60-minute ESG procedure, home the same day." --- Everself Houston · Houston, TX # Endoscopic Sleeve Gastroplasty in Houston. Performed by the Inventors of ESG. A 60-minute, non-surgical weight loss procedure, performed by Dr. Fahed in Houston, TX. 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. Julien Fahed Bariatric Endoscopist · Houston leader - [Patients' Top Choice](https://health.usnews.com/doctors/julien-fahed-844159) [Dr. Fahed, U.S. News](https://health.usnews.com/doctors/julien-fahed-844159) - \#1 in Houston Endoscopic weight care - 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 Houston 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/) - [Gastric bypass revision](https://everself.com/revision-of-gastric-bypass/) - [Weight-loss medication](https://everself.com/weight-loss-medication/) [Check which one is best for me](https://app.everself.com/signup) Where Everself Houston performs ESG ## Performed at Texas International Endoscopy Center, in Houston, TX. Texas International Endoscopy Center is a specialized endoscopy facility in the Texas Medical Center on Main Street, Houston — the largest medical district in the world, with modern outpatient suites. Texas International Endoscopy Center Every Everself Houston procedure is performed here. Texas International Endoscopy Center 6620 Main St, Suite 1500 Houston, TX77030 [Open in Google Maps](https://share.google/ljzUml5J3PL6t0isL) [(832) 979-7353](tel:+18329797353) Telehealth follow-ups available English · Español Free on-site parking · ADA accessible Your Houston team ## Meet your Everself Houston team. ### Dr. Julien Fahed Led by Dr. Julien Fahed Everself Houston is led by Dr. Julien Fahed, a board-certified bariatric endoscopist running one of the highest-volume bariatric endoscopy practices in the Houston region. He specializes in ESG Stomach Tightening, intragastric balloon therapy, and endoscopic bariatric revision (TORe) — all same-day, incision-free procedures. Dr. Fahed has contributed to peer-reviewed publications and medical textbooks and has presented research at Digestive Disease Week (DDW) and the American College of Gastroenterology (ACG). Saint-Joseph U Beirut · Medical degree UMass Chan IM residency Aurora Health GI fellowship 3 languages EN · AR · FR [See Dr. Fahed's profile](https://everself.com/team/julien-fahed/) 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 Houston 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 Texas International Endoscopy Center. Home the same afternoon. - ### 1. Arrive at Texas International Endoscopy 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) - Everself Houston and Everself in general was so wonderful! The individual time they devoted to me was more than most medical establishments! The surgeons themselves had zoom meetings with me prior to my procedure and Dr Thompson was phenomenal. … jen Christmas Verified review · 2 months ago - I’m so glad I chose Everself to start my journey. The support team, nurses, and Dr. Fahad made me feel completely confident in my decision to go through with weight loss surgery. I truly believe it’s the best choice I could have made to improve both my health and my life. … Reba Terry Verified review · 6 months ago - I used Bariendo in Houston to do my ESG, I am so very glad I did!!! No pain went to work 4 days later. Loosing weight, feel so much better. More energy, able to exercise and I’m just on week 2. Best investment in my health I’ve ever made!! Sharon Newton Verified review · a year 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 Houston 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 Houston Marriott Medical Center/Museum District. Everself patients receive a special discount at Houston Marriott Medical Center/Museum District, conveniently located next to Texas International Endoscopy Center, our procedure location. Use code 17E at booking [Book Houston Marriott Medical Center/Museum District](https://www.marriott.com/event-reservations/reservation-link.mi?id=1778259916494\&key=CORP\&app=resvlink) Pricing ## One price. The Everself Program included. Self-pay, no insurance to wrangle. Pay with HSA or FSA, or finance through Cherry or CareCredit (0% APR options for qualified applicants). [See full pricing breakdown →](https://everself.com/pricing-financing/) ESG · all-in $12,995 Procedure + 12 months of concierge care 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 · [(832) 979-7353](tel:+18329797353) - ### 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/) - ### Gastric bypass revision A non-surgical revision for those regaining weight after gastric bypass. $11,995 from $275/mo · Cherry / CareCredit / HSA / FSA [Book consultation](https://app.everself.com/signup) [Learn more about gastric bypass revision](https://everself.com/revision-of-gastric-bypass/) ## Common questions about Everself Houston How long is the drive to Texas International Endoscopy Center from my Houston neighborhood? Texas International Endoscopy Center is in Texas Medical Center, TX. Drive times: **\~10 minutes from downtown Houston**; **\~15 minutes from The Heights**; **\~25 minutes from Sugar Land**; **\~40 minutes from The Woodlands**. Free on-site parking, and out-of-town patients have a partner hotel nearby. Is parking free at Texas International Endoscopy Center? Is the facility accessible? Yes — **free on-site parking** is available at Texas International Endoscopy Center for every Everself Houston 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 Houston team speak? Your Everself Houston 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 Houston? To get an endoscopic weight loss procedure in Houston, 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/) Are endoscopic weight loss procedures 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. Insurance applies to ESG only; the gastric balloon, revision procedures, and medication programs are self-pay. 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/) Everself Houston · with Dr. Fahed ## Your new chapter with Everself Houston. 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