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Everself
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ESG Stomach Tightening®

Not a drug. Not a surgery.

Lose 20% of your weight on average — and keep it off — with the first FDA-approved, non-surgical weight loss procedure. 60 minutes. No incisions. Home the same day.

Am I a candidate?
4.8 on Trustpilot Virtual consultation

We invented ESG

At Harvard, 2012

20,000+

Procedures worldwide

40+ lbs

20% avg. weight loss

60 min

Home the same day

As seen in

image/svg+xml
Forbes
Great Day Washington
Bloom TV

If you're comparing options

Better than a GLP-1. Easier than bariatric surgery.

Michelle lost 62 lbs

Michelle lost 62 lbs

Christina lost 100 lbs

Christina lost 100 lbs

Oscar lost 90 lbs

Oscar lost 90 lbs

Nicole lost 116 lbs

Nicole lost 116 lbs

Lacy lost 40 lbs

Lacy lost 40 lbs

Angelica lost 30 lbs

Angelica lost 30 lbs

What is ESG

A single conversation. A single procedure. A year of care.

1

Pre-procedure

A virtual consultation from the comfort of your home with your 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.

The people who invented this

Born in our Harvard lab. ESG at its best.

Not all ESG is the same. Pattern, depth, the hands at the controls — every detail decides whether you lose 20% or regain in a year. Everself ESG is the original protocol, performed by the team that invented it.

Dr. Christopher C. Thompson

Meet the inventor of ESG, Dr. Christopher Thompson

Harvard Medical School Professor · Everself co-founder

"Not all ESG is the same. The pattern of sutures, the depth, the hands at the controls — every detail compounds. We wrote the protocol so every Everself patient gets the procedure done right."
Dr. Pichamol “Sigh” Jirapinyo

Dr. Pichamol Jirapinyo

Co-founder · Harvard faculty

 Dr. Christopher McGowan

Dr. Christopher McGowan

Charlotte · 5,000+ ESG cases

 Dr. Janese Laster-Butler

Dr. Janese Laster-Butler

Washington, DC · 4x board-certified

 Dr. Brian S. Lim

Dr. Brian Lim

Orange County · UC Riverside

 Dr. Ali Abbas

Dr. Ali Abbas

Tampa · Harvard-trained

 Dr. Avik Sarkar

Dr. Avik Sarkar

New Jersey · 2x board-certified

 Dr. Haroon Shahid

Dr. Haroon Shahid

New Jersey · Jefferson-trained

 Dr. Lindsey Merritt

Dr. Lindsey Merritt

Jacksonville · Borland Groover

 Dr. Zaid Rana

Dr. Zaid Rana

Miami · Director of Endoscopy

 Dr. Zachary M. Callahan

Dr. Zachary Callahan

Nashville · Jefferson-trained surgeon

 Dr. Julien Fahed

Dr. Julien Fahed

Houston · advanced endoscopist

 Dr. Mustafa S. Huseini

Dr. Mustafa Huseini

Detroit · Brigham-Harvard fellow

 Dr. Daniel Szvarca

Dr. Daniel Szvarca

Charleston · Hopkins & Harvard

 Dr. Shehriyar Mehershahi

Dr. Shehriyar Mehershahi

Dallas · interventional GI

For people who've tried everything

A lifetime of GLP-1 drugs. Or a one-time procedure.

GLP-1s are a temporary boost to your satiety hormone, designed for lifelong use. Most people who stop regain most of the weight back. Research shows that switching from a GLP-1 to ESG leads to 18% more weight loss after a year; switching to a stronger GLP-1 only gets you 9% more.

You've tried GLP-1 — so what's next?

After ~10 months on GLP-1, weight change over the next year by next step.

ESG after stopping GLP-1 Switching to a stronger GLP-1 (Tirzepatide) Stopping GLP-1 & switching to lifestyle coaching
Sources & notes (1)
  1. Jirapinyo P, Maahs E, Rana Z, Abbas A, Merritt L, Thompson CC. Rescue Strategies After GLP-1RA Discontinuation: Switching to Alternative GLP-1RA vs Endoscopic Gastric Remodeling vs Lifestyle Modification Alone. DDW 2026. — 12-month %TWL after rescue intervention vs pre-GLP-1 baseline (n=103).

Endpoints are mean percent total weight loss (%TWL) at 12 months post-intervention, measured against each patient's pre-GLP-1 starting weight. Individual results vary with starting weight, adherence and the year of concierge care that follows the procedure.

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 nurse care manager checking in daily and an Everself provider one tap away around the clock.

24/7 provider on callIV hydration therapyDedicated 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 dietitianGroup supportGLP-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 dietitianFine-tune weight lossLifetime communityFinal check-ins
Am I a candidate?

What patients say

4.8 stars on Trustpilot. And a thousand reasons why.

4.8 / 5 · Read on Trustpilot →
  • Thomas before
    Before
    Thomas after
    Thomas, Lost 63 Lbs
  • Barb before
    Before
    Barb after
    Barb, Lost 65 Lbs
  • Ornella before
    Before
    Ornella after
    Ornella, Lost 52 Lbs
  • Joey before
    Before
    Joey after
    Joey, Lost 43 Lbs
  • Helen before
    Before
    Helen after
    Helen, Lost 63 Lbs
  • Ciaralyn before
    Before
    Ciaralyn after
    Ciaralyn, Lost 56 Lbs
  • Caroline before
    Before
    Caroline after
    Caroline, Lost 85 Lbs
  • Miriam before and after
  • Eliana before and after
  • Hernando before
    Before
    Hernando after
    Hernando, Lost 59 Lbs
  • Rebecca before and after

Where we are

Twelve locations. One virtual care team with you everywhere.

Virtual consultations, procedure in-clinic, follow-ups by video through month twelve. Many patients fly in for the procedure day.

California

Temecula Valley

Florida

Jacksonville · Miami · Tampa

Massachusetts

Boston

Michigan

Detroit

North Carolina

Charlotte

South Carolina

Charleston

Tennessee

Nashville

Texas

Dallas · Houston

Washington, D.C.

Washington DC

Book consultation

Looking for something other than ESG?

We also offer three other non-surgical procedures. We'll help you find the right one in your consultation.

Gastric Balloon → Gastric Sleeve Revision → Gastric Bypass Revision →

FAQ

Questions, answered

What is ESG stomach tightening (endoscopic sleeve gastroplasty)?
ESG stomach tightening — clinically called endoscopic sleeve gastroplasty (ESG) — is a 60-minute non-surgical weight-loss procedure. Your physician places a series of internal sutures through the mouth using an endoscope, folding and tightening the stomach into a banana-shaped sleeve without removing any tissue. No incisions, no scars, no hospital stay. The result is a smaller stomach that fills earlier during meals, paired with Everself's 12-month support program that builds the eating patterns to hold the weight loss.
What's the difference between ESG and VSG (vertical sleeve gastrectomy)?
ESG (endoscopic sleeve gastroplasty) and VSG (vertical sleeve gastrectomy, often just called the gastric sleeve) sound similar but are very different procedures. VSG is a surgical procedure: the surgeon removes about 80% of the stomach through laparoscopic incisions — permanent, requires a 1–3 day hospital stay and 2–4 weeks of recovery. ESG is non-surgical and reversible: the endoscopist places internal sutures through the mouth that fold and tighten the existing stomach — no tissue is removed, no incisions, no hospital stay, and 1–3 days of typical recovery. VSG produces greater absolute weight loss; ESG produces durable weight loss with substantially lower risk, no scars, and a much faster return to normal life.
How long does endoscopic sleeve gastroplasty (ESG) take?
The ESG stomach tightening procedure itself takes about 60 minutes. Plan on roughly half a day with us, including preparation and recovery — you'll go home the same day. No incisions, no hospital stay.
What is recovery like after ESG stomach tightening?
Most patients return to work within 1 to 3 days of their ESG stomach tightening procedure. The eating plan steps through a full-liquid phase (protein shakes), then a soft diet (oatmeal, bananas), then regular eating — typically about three weeks of progression, paced by your Everself dietitian. We provide complimentary IV hydration the day after your endoscopic sleeve gastroplasty to help you recover faster.
Is endoscopic sleeve gastroplasty reversible?
Yes. ESG stomach tightening places internal sutures that fold the stomach in on itself without removing any tissue — your physician can remove the sutures endoscopically if needed. (Note: a different procedure called endoscopic gastric plication, or EGP, folds the stomach outward and is typically not reversible. Your Everself physician will discuss which device is right for you.)
How much weight can I lose with ESG stomach tightening?
Published 5-year outcomes for endoscopic sleeve gastroplasty show an average of about 15 to 20% total body weight loss. Outcomes are strongest for patients who complete the full 12-month Everself support program — the ESG procedure tightens the stomach, but the program builds the eating patterns that hold the result long-term.
How does ESG compare to gastric sleeve surgery (VSG / sleeve gastrectomy)?
ESG stomach tightening is a non-surgical, endoscopic procedure done through the mouth — no incisions, no scars, no hospital stay, and 1 to 3 days of typical recovery. Gastric sleeve surgery (VSG, sleeve gastrectomy) removes about 80% of the stomach through laparoscopic incisions, requires a 1 to 3 day hospital stay, and 2 to 4 weeks of recovery. Sleeve gastrectomy produces greater absolute weight loss; ESG produces durable weight loss with substantially lower risk and faster return to normal life. ESG is also reversible; VSG is permanent.
How does ESG compare to gastric bypass?
Gastric bypass re-routes the small intestine through laparoscopic incisions — most aggressive procedure, longest recovery (2 to 4 weeks off work), and a 1 to 3 day hospital stay. ESG (endoscopic sleeve gastroplasty) is non-surgical, done through the mouth in about 60 minutes, with a 1 to 3 day recovery and no incisions. Bypass produces greater absolute weight loss; ESG produces durable weight loss with a fraction of the recovery and complication profile.
How does ESG compare to GLP-1 medications like Ozempic and Wegovy?
GLP-1 medications work — while you take them. Published follow-up from the STEP 1 semaglutide trial showed participants regained the majority of their weight loss within a year of stopping the medication. ESG stomach tightening is a one-time procedure paired with Everself's 12-month support program designed to build habits that hold after the procedure. For some patients, endoscopic sleeve gastroplasty can be a no-medication alternative to GLP-1s; for others, ESG can be combined with a GLP-1 to deepen results.
How much does ESG stomach tightening cost?
ESG stomach tightening with Everself costs $12,995 all-inclusive — the endoscopic sleeve gastroplasty procedure plus 12 virtual visits with your dedicated care team (physician, registered dietitian, behavioral coach). Financing is available — starting around $295/month — via Cherry and CareCredit.
Does insurance cover endoscopic sleeve gastroplasty?
Most insurance plans do not currently cover endoscopic weight-loss procedures, including ESG. Everself is a self-pay program; we keep pricing transparent and offer financing through Cherry and CareCredit so you can spread the cost of your ESG stomach tightening over 12 to 60 months.
Am I a candidate for ESG?
Endoscopic sleeve gastroplasty is generally indicated for adults with a BMI of about 30 or higher who haven't achieved durable weight loss through diet, exercise, or medication. Your Everself physician will confirm eligibility at consultation — most patients are candidates, including those who've tried GLP-1s, those who've regained weight after bariatric surgery, and those who aren't candidates for or don't want surgical sleeve gastrectomy (VSG) or gastric bypass.
How long do ESG results last? Is ESG stomach tightening permanent?
Published 5-year outcomes from Cornell (Sharaiha et al., Clinical Gastroenterology and Hepatology, 2021) show ESG stomach tightening patients maintained an average of about 15% total body weight loss at 5 years — comparable durability to laparoscopic sleeve gastrectomy (VSG) at the same follow-up. The procedure itself is durable; the 12-month Everself support program is what keeps results holding for years after.
How is Everself's ESG stomach tightening different from ESG at other providers?
Our team invented endoscopic sleeve gastroplasty at Harvard Medical School and authored both the official ESG protocol and the field's best-practice technique standard. Technique matters: ESG outcomes vary substantially with suture count, the stitch pattern, and whether each bite captures full-thickness tissue. Everself physicians average 5 to 10 times the ESG case volume of typical providers, and every endoscopic sleeve gastroplasty is wrapped in a 12-month multidisciplinary support program — not the single follow-up most clinics provide.

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 →

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

Consultation

Free

Am I a candidate?

or talk to the team · (888) 211-8385

Is this for me? Book free consultation