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.
A 60-minute, non-surgical weight loss procedure, performed by Dr. Fahed in Houston, TX. Options include ESG (endoscopic sleeve gastroplasty), plus gastric balloon and bariatric revision. Home the same afternoon.

Dr. Julien Fahed
Bariatric Endoscopist · Houston leader
As seen in
#1 in Houston
Endoscopic weight care
We invented ESG
At Harvard, 2012
40+ lbs
20% avg. weight loss
60 min
Home the same day
Beyond ESG, Everself Houston offers several non-surgical paths to weight loss — whichever fits your case best.
Where Everself Houston performs ESG
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.
Your Houston team

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
Real Everself patient results
What is ESG (Endoscopic Sleeve Gastroplasty)
1
A virtual consultation from the comfort of your home with your Houston specialist provider. Comprehensive metabolic labs, one all-in cost, no upsell.
2
Through your mouth, your doctor places 7–10 sutures, reducing the stomach size by ~75%. Home the same day. No incisions, no scars.
3
The Everself Program — dietitian, 24/7 nurse practitioner on call, group support, and a peer community for the full year.
If you're comparing options
What to expect
Done entirely from home. No need to visit a physical center.
1
A 45-minute video call with your provider.
2
Visit a LabCorp near you for pre-procedure labs.
3
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
Plan to arrive about one hour before your procedure.
2
Standard general anesthesia. No incisions — work happens internally.
3
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
Complimentary IV hydration at a partner site near you.
2
Liquids to soft foods, guided by your dietitian. Gentle exercise from week one.
3
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
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!!
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. …
The Everself Program
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.
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."
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.
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.
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.

For out-of-town patients
Everself patients receive a special discount at Houston Marriott Medical Center/Museum District, conveniently located next to Texas International Endoscopy Center, our procedure location.
Pricing
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 →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
or talk to the team · (832) 737-8371
A drug-free, non-surgical, fully reversible path to weight loss.
$7,495
from $172/mo · Cherry / CareCredit / HSA / FSA
A non-surgical revision for those regaining weight after gastric sleeve.
$11,995
from $275/mo · Cherry / CareCredit / HSA / FSA
A non-surgical revision for those regaining weight after gastric bypass.
$11,995
from $275/mo · Cherry / CareCredit / HSA / FSA
To get an endoscopic weight loss procedure in Houston, please schedule a virtual consultation with one of our nurse practitioners or physician assistants to determine your eligibility. We don't accept walk-ins.
To be eligible for one of our endoscopic weight loss procedures (such as endoscopic sleeve gastroplasty, gastric balloon, or revision of prior bariatric surgery), you must have a BMI over 30, or a BMI between 27 and 29.9 with 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.
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.
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.
Everself Houston · with Dr. Fahed
45-minute virtual consultation. No obligations.
Bariendo is now Everself. Learn more