Everself TORe (Transoral Outlet Reduction) is a 45 minute endoscopic procedure that narrows a stretched gastric bypass outlet with internal sutures. Restore restriction and restart your weight loss without another surgery.
As seen in
We invented TORe
In our Harvard lab.
~10–15%
Average total body weight loss.
30–45 min
Outpatient procedure, home the same day.
No incisions
Endoscopic — through the mouth.
Is this you?
Meaningful weight loss after a bypass — without another operation, without a lifelong prescription.
Had a gastric bypass and the weight came back.
Don't want another surgery, but want to lose the regained weight.
Want a real program around the procedure, not just one follow-up.
How it works
1
Under sedation, your physician threads an endoscope down to the pouch–intestine junction and places a circular suture pattern around the widened outlet. The bypass itself is untouched. Same-day discharge.
2
Satiety arrives earlier in a meal — sometimes within the first couple of bites. Liquids the first few days, then soft foods, then regular eating. Back to work in 1–3 days.
3
A re-narrowed outlet only delivers durable weight loss if eating patterns change too. 12+ check-ins, smart scale, patient app, 24/7 clinical on-call.
The doctor who invented this
Not all TORe is the same. Pattern, depth, the hands at the controls — every detail decides how much weight you lose. Everself TORe is the original protocol, performed by the team that invented it.
Harvard Medical School Professor · Everself co-founder
"Too many patients were regaining weight after gastric sleeve and bypass surgery, only to be told their next option was another surgery. I believed there had to be a better way. After a decade of research at Harvard, we developed a non-surgical approach to revision. Today, Everself brings that protocol directly to patients."
Leading physicians trained and qualified by the inventor.
Dr. Pichamol Jirapinyo
Co-founder · Harvard faculty
Dr. Christopher McGowan
Charlotte · 5,000+ ESG cases
Dr. Janese Laster-Butler
Washington, DC · 4x board-certified
Dr. Brian Lim
Orange County · UC Riverside
Dr. Ali Abbas
Tampa · Harvard-trained
Dr. Avik Sarkar
New Jersey · 2x board-certified
Dr. Haroon Shahid
New Jersey · Jefferson-trained
Dr. Lindsey Merritt
Jacksonville · Borland Groover
Dr. Zaid Rana
Miami · Director of Endoscopy
Dr. Zachary Callahan
Nashville · Jefferson-trained surgeon
Dr. Julien Fahed
Houston · advanced endoscopist
Dr. Mustafa Huseini
Detroit · Brigham-Harvard fellow
Dr. Daniel Szvarca
Charleston · Hopkins & Harvard
Dr. Shehriyar Mehershahi
Dallas · interventional GI
Two options
Both are 30–45 minute endoscopic procedures with the same recovery profile. Everself TORe+ adds therapeutic steps shown to deliver stronger average weight loss. Your physician will recommend which fits your anatomy and goals.
Endoscopic outlet reduction.
~10%
Average total body weight loss
Outlet reduction plus ESD for deeper, more durable stitches.
~15%
Average total body weight loss
The Everself Program
The success of a gastric bypass revision depends on both what happens in the procedure room and the months that follow. Our 12-month program is built around the full arc. Most clinics manage 1–6 check-ins for the year; we map 12+ to the recovery curve.
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 dedicated 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.
What patients say
I had the revision procedure four months ago, a simple 45 minute endoscopic procedure with minimal down time, and have already lost 20% of my body weight.
What stands out most is the incredible support I've received — from my very first inquiry all the way through the follow-ups with my dietitian and behavioral counselor.
I am almost to my goal weight and couldn't have done this without their expertise and support on this weight loss journey.
Where we are
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
New Jersey
New Jersey
North Carolina
Charlotte
South Carolina
Charleston
Tennessee
Nashville
Texas
Dallas · Houston
Washington, D.C.
Washington DC
Looking for something other than bypass revision?
We also offer three other non-surgical procedures. We'll help you find the right one in your consultation.
Pricing
Same price whether your physician recommends TORe or TORe+. Self-pay, no insurance to wrangle. Financing through Cherry or CareCredit, with 0% APR options for qualified applicants.
See full pricing breakdown →$11,995
all-inclusive
Financing from $275/month via Cherry and CareCredit.
FAQ
